2019-11-13T18:29:27-06:00 2018-12-31 KPMG LLP 550 S HOPE STSUITE 1500 LOS ANGELES CA 90071 990 2018-01-01 941461843 JOHN MUIR HEALTH % CHRISTIAN PASS JOHN 9259363000 1400 TREAT BOULEVARD No 300 WALNUT CREEK CA 94597 CHRISTIAN PASS CFO 9259393000 2019-10-31 true CAREY MCKEE P01281067 2139724000 167.68.102.5 77070920193175000003 2019-11-13 P 164FA9FDD4A18A30677B9C9ED78991B59AF5BA8D 164FA9FDD4A18A30677B9C9ED78991B59AF5BA8D 2018 2020-04-17 16:48:07Z CALVIN KNIGHT 1400 TREAT BOULEVARD WALNUT CREEK CA 94597 2166608466 false X WWW.JOHNMUIRHEALTH.COM X 1958 CA JOHN MUIR HEALTH IS DEDICATED TO IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE WITH QUALITY AND COMPASSION. 15 14 6000 1039 -158042 0 14130540 22737498 1437076003 1518221191 76541556 64264520 13377658 77181 1541125757 1605300390 59197499 70444077 0 0 750160549 770527144 0 0 0 672922305 701103607 1482280353 1542074828 58845404 63225562 2811995200 2686690040 1089620603 1068210245 1722374597 1618479795 X THE MISSION OF JOHN MUIR HEALTH IS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE WITH QUALITY AND COMPASSION. JOHN MUIR HEALTH OFFERS THE COMMUNITY A NETWORK OF PRIMARY CARE AND SPECIALTY PHYSICIANS, TWO MEDICAL CENTERS, INCLUDING THE COUNTY'S ONLY TRAUMA CENTER AND A BEHAVIORAL HEALTH CENTER. THE HEALTH SYSTEM ALSO OFFERS A FULL-RANGE OF MEDICAL SERVICES, INCLUDING PRIMARY CARE, OUTPATIENT AND IMAGING SERVICES, AND IS WIDELY RECOGNIZED AS A LEADER IN MANY SPECIALTIES - NEUROSCIENCES, ORTHOPEDIC, CANCER, CARDIOVASCULAR, TRAUMA, EMERGENCY, PEDIATRICS AND HIGH-RISK OBSTETRICS CARE. false false 626404129 643476558 HOSPITAL SERVICES - GENERAL MEDICINE AND SURGERY THE CORE OF JOHN MUIR HEALTH'S SERVICE TO THE COMMUNITY IS IN ITS GENERAL MEDICINE AND SURGERY PROGRAM, WHICH PROVIDES COMPREHENSIVE CARE FROM EMERGENCY TO HIGH LEVEL CRITICAL CARE TO DISCHARGE SUPPORT AND HOME HEALTH FOR PATIENTS WITH A VARIETY OF CONDITIONS. JOHN MUIR MEDICAL CENTER, WALNUT CREEK SERVES AS THE ONLY COUNTY-DESIGNATED TRAUMA CENTER FOR THE AREA, WORKING CLOSELY WITH LOCAL EMERGENCY SERVICES LEADERS. THE JMH TRAUMA CENTER RECEIVED THE AMERICAN COLLEGE OF SURGEON'S COMMITTEE ON TRAUMA UNCONDITIONAL RE-VERIFICATION AS A LEVEL II TRAUMA CENTER. THE TRAUMA CENTER SAW 2,287 PATIENTS IN 2018. NATIONAL RECOGNITIONS RECEIVED IN 2018 INCLUDE: (1) RECOGNITION OF JOHN MUIR MEDICAL CENTER, WALNUT CREEK BY U.S. NEWS & WORLD REPORT FOR THE 12TH YEAR IN A ROW AS ONE OF "AMERICA'S BEST HOSPITALS". GYNECOLOGY SERVICES AT THE WALNUT CREEK CAMPUS WERE RECOGNIZED AS AMONG THE TOP 50 IN THE UNITED STATES FOR THE SEVENTH CONSECUTIVE YEAR, (2) RECOGNITION OF SEVEN SERVICES COMBINED AND NINE ADULT PROCEDURES AND CONDITIONS COMBINED AT JOHN MUIR MEDICAL CENTER, WALNUT CREEK AND JOHN MUIR MEDICAL CENTER, CONCORD AS HIGH PERFORMING BY U.S. NEWS & WORLD REPORT, (3) FOR THE SECOND STRAIGHT YEAR, THE CONCORD MEDICAL CENTER WAS ONE OF ONLY 29 HOSPITALS NATIONWIDE (LESS THAN 1%) TO RECEIVE HIGH PERFORMING RATING IN ALL NINE ADULT PROCEDURES AND CONDITIONS EVALUATED (4) U.S. NEWS AND WORLD REPORT ALSO RANKED THE CONCORD MEDICAL CENTER #2 AND WALNUT CREEK MEDICAL CENTER #3 OUT OF ALL 44 HOSPITALS IN THE SAN FRANCISCO-OAKLAND AREA BASED ON PATIENT SURVIVAL, PATIENT SAFETY, AND CARE-RELATED FACTORS SUCH AS NURSING AND PATIENT SERVICES, AND REPUTATION. THE TWO HOSPITALS WERE ALSO RANKED #12 AND #14 IN CALIFORNIA OUT OF 400 ACUTE CARE HOSPITALS. (5) JOHN MUIR HEALTH'S CONCORD AND WALNUT CREEK MEDICAL CENTERS WERE 2 OF JUST 520 HOSPITALS OR ABOUT 10% NATIONALLY THAT EARNED THE DESIGNATION OF BEST HOSPITALS BY U.S. NEWS AND WORLD REPORT. (6) THE WALNUT CREEK MEDICAL CENTER WAS NAMED ONE OF AMERICA'S 50 BEST HOSPITALS BY HEALTHGRADES FOR THE FIFTH STRAIGHT YEAR (TOP 1% OF HOSPITALS NATIONWIDE), AND RECEIVED RECOGNITION AS A DISTINGUISHED HOSPITAL FOR CLINICAL EXCELLENCE FOR THE NINTH CONSECUTIVE YEAR. (7) THE CONCORD AND WALNUT CREEK MEDICAL CENTERS COMBINED RECEIVED FIVE CLINICAL EXCELLENCE AWARDS, 26 FIVE-STAR RATINGS, AND RANKINGS IN THE TOP 10% IN THE NATION FOR SEVERAL SERVICES, PROCEDURES AND TREATMENTS. OUR PROGRAM EMPHASIS IN 2018 WAS ON CONTINUED OUTREACH TO UNINSURED, UNDERSERVED AND VULNERABLE POPULATIONS IN OUR SERVICE AREA THROUGH COMMUNITY PARTNERSHIPS, SUCH AS THE DENTAL COLLABORATIVE OF CONTRA COSTA COUNTY, MOBILE HEALTH CLINIC, AND SUPPORT FOR OPERATION ACCESS, VIOLENCE PREVENTION, CONTRA COSTA CARES, AND ELEMENTARY SCHOOL-BASED NURSING. 182139677 189507799 CARDIOVASCULAR CARE IS THE SECOND LARGEST HOSPITAL-BASED SERVICE OF JOHN MUIR HEALTH. CARDIOVASCULAR AWARDS AND ACCREDITATIONS IN 2018 INCLUDE: (1) CONCORD MEDICAL CENTER WAS RECOGNIZED IN BECKER'S HEALTHCARE "100 HOSPITALS AND HEALTH SYSTEM WITH GREAT HEART PROGRAMS." (2) JOHN MUIR HEALTH, CONCORD AND WALNUT CREEK MEDICAL CENTERS WERE RECOGNIZED IN U.S. NEWS AND WORLD REPORT "AMERICA'S BEST HOSPITAL" AS HIGH PERFORMING IN CARDIOLOGY AND HEART SURGERY. (3) CARDIAC CONDITIONING PROGRAM RECEIVED ACCREDITATION BY AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION. (4) CONCORD MEDICAL CENTER RECEIVED THE ACTION REGISTRY PLATINUM ACHIEVEMENT AWARD FOR THE EIGHT CONSECUTIVE QUARTERS, MEETING HIGH PERFORMANCE STANDARDS FOR HEART ATTACK PERFORMANCE MEASURES. (5) WALNUT CREEK AND CONCORD MEDICAL CENTERS HAVE EARNED THE "GET WITH THE GUIDELINES - HEART FAILURE" GOLD PLUS QUALITY ACHIEVEMENT AWARD. (6) CONCORD MEDICAL CENTER WAS RECOGNIZED AS BLUE DISTINCTION CENTER FOR CARDIAC CARE. 127858914 191010454 WOMEN'S AND CHILDREN'S SERVICES IS THE THIRD LARGEST PROGRAM WITHIN JOHN MUIR HEALTH. ACHIEVEMENTS IN 2018 INCLUDE: (1) COMPLETED AND SUBMITTED APPLICATION TO CALIFORNIA CHILDREN'S SERVICES TO BECOME A NEONATAL SURGICAL CENTER. (2) COMPLETED AND SUBMITTED APPLICATION TO CALIFORNIA CHILDREN'S SERVICES FOR NICU RE-CERTIFICATION. (3) THE "JUST LIKE ME" PROGRAM ON ABC 7 FEATURED THE MUSIC THERAPY PROGRAM THAT IS SUPPORTED BY THE TAYLOR FAMILY FOUNDATION. (4) COMPLETED VIDEOS FOR THE PEDIATRIC SPECIALISTS FOR THE JOHN MUIR HEALTH AND SCH WEBSITES UNDER FIND A DOCTOR. (5) CREATED AND WENT LIVE WITH THE CHILDREN'S SPECIALTY SERVICES WEBSITE. (6) IMPLEMENTED THE HEART TO HEART PROGRAM. THIS PROGRAM IS DESIGNED FOR PARENTS AND ADOLESCENTS TO DISCUSS PUBERTY AND SEXUAL DEVELOPMENT. (7) KTVU INTERVIEWED THE CHILD LIFE SPECIALIST ABOUT THE IMPACT THE CRAYON INITIATIVE HAS ON HOSPITALIZED CHILDREN. (8) RECRUITED AND ON BOARDED PEDIATRIC SPECIALISTS IN GENERAL SURGERY, GASTROENTEROLOGY, AND CARDIOLOGY. (9) IMPLEMENTED CHILD LIFE SERVICES IN THE WALNUT CREEK EMERGENCY DEPARTMENT. (10) DEVELOPMENT AND IMPLEMENTATION OF PERINATOLOGY CASE PLANNING MEETING,PEDIATRIC SURGICAL M&M AND PEDIATRIC RESOURCE GUIDE FOR FAMILIES OF PEDIATRIC PATIENTS. (11) SPONSORED SUMMER FUN THURSDAY EVENT AT SUNVALLEY MALL. (12) THE SAN FRANCISCO GIANTS SPONSORED A PRIVATE PRE-GAME MEET AND GREET WITH BUSTER POSEY FOR PEDIATRIC ONCOLOGY PATIENTS. (13) IMPLEMENTD BEADS OF COURAGE PROGRAM FOR PEDIATRIC ONCOLOGY PATIENTS AND HAND TO HOLD CHARM PROGRAM FOR NICU PATIENTS. (14) AWARDED $10,000 BY THE HUGGIES #NOBABYUNHUGGED PROGRAM TO HELP NICU BABIES TRANSITION TO HOME MORE QUICKLY. (15) REMEMBRANCE CEREMONY AT HEATHER FARMS FOR FAMILIES WHO HAVE LOST AN INFANT OR CHILD. (16) IMPLEMENTED MOMENT TO MOMENT - PROFESSIONAL PHOTOGRAPHERS DONATE TIME TO PHOTOGRAPH INFANTS AND CHILDREN WHO ARE INPATIENTS FOR LONG PERIODS OF TIME. (17) WOMEN'S PHILANTHROPHIC CIRCLE AWARDED CHILD LIFE SERVICES $1,500 TO PURCHASE THE MEDIKIN DOLL FOR CHILDREN TO PRACTICE AND BECOME FAMILIAR WITH PROCEDURES. (18) PILOT FOR KIDS DONATED TIME TO PAINT AN AIRPLANE MURAL IN A PEDIATRIC ONCOLOGY TREATMENT ROOM. (19) COMPLETED 4 PEDIATRIC SPECIALTY PHYSICIAN ENGAGEMENT AND 5 PEDIATRIC SPECIALTY LUNCH AND LEARN. (20) STAFF FROM INPATIENT AND OUTPATIENT ENDOCRINOLOGY PARTICIPATED IN THE JUVENILE DIABETES WALK FOR A CURE. 415337581 70407077 494226380 1351740301 true true false true false false false false false false true true true false true true false true false false true false false false true false true true true false true true false false false false false false false false false false false false false false false true true true false false true 1143 0 true 6000 true true true false false false false true true false false false false true false X 15 14 true false false false false false true true true false false true true true true true true true true true true CA X CHRISTIAN PASS 9259363000 1400 TREAT BLVD WALNUT CREEK CA 94597 X Michael Robinson Chairman 5.0 10.0 X X 18750 0 0 Robert E Edmondson Vice Chairman & Treasurer 5.0 10.0 X X 18750 0 0 William F Cronk Secretary 5.0 10.0 X X 0 0 0 Taejoon Ahn MD Director (AS OF 07/25/18) 5.0 10.0 X 18750 0 0 Michelle J Bartel Director (thru 7/25/18) 5.0 10.0 X 6250 0 0 Anne Grodin Director (as of 7/25/18) 5.0 10.0 X 4168 0 0 Jay Harris Director 5.0 10.0 X 0 0 0 Ravi Hundal MD Director (AS OF 07/25/18) 5.0 10.0 X 20888 0 0 John Merson MD Director 5.0 10.0 X 69450 0 0 Regina Muehlhauser Director (thru 03/06/18) 10.0 5.0 X 0 0 0 Mark Musco MD Director 5.0 10.0 X 11250 0 0 Kathleen Odne Director 5.0 10.0 X 18750 0 0 Chi Perloth MD Director 5.0 10.0 X 11250 0 0 Johnannes Peters MD Director 5.0 10.0 X 0 0 0 Thomas G Rundall Director 5.0 10.0 X 0 0 0 John Sayres Director (as of 03/06/18) 5.0 10.0 X 15625 0 0 Calvin Knight CEO/Director/President 60.0 15.0 X X 2441474 0 1499697 Christian Pass Senior VP/CFO 60.0 15.0 X 793297 0 285170 Jane Willemsen Executive VP and President Hos 60.0 0.0 X 1036606 0 844357 Michael Thomas Executive VP and Chief Transfo 60.0 0.0 X 1030975 0 577499 Michael Moody SR VP/Partnership Integration 60.0 0.0 X 862477 0 468626 Irving Pike MD SR VP/Chief Medical Officer 60.0 0.0 X 813001 0 329299 Max Reynolds SR VP/ General Counsel 60.0 0.0 X 643017 0 220634 George Sauter Senior VP and Chief Strategy O 60.0 0.0 X 643525 0 232406 Jon Russell SR VP and Chief Information Of 60.0 0.0 X 591235 0 214209 Lisa Foust SR VP Human Resources 60.0 0.0 X 588373 0 235814 Ray Nassief SR VP Hospital Operations 60.0 0.0 X 482231 0 200057 Michelle Lopes Chief Nursing Executive, RN 60.0 0.0 X 474484 0 259836 10614576 0 5367604 2643 false true false CROSS COUNTRY STAFFING LA LOCKBOX FILE 50941 LOS ANGELES CA 90074 TEMPORARY STAFFING 14755756 MEDICAL ANESTESIA CONSULTANTS MEDIC 2175 N CALIFORNIA BLV WALNUT CREEK CA 94596 MEDICAL 9518324 BAY AREA SURGICAL SPECIALIST PO BOX 97297 LAS VEGAS NV 89193 MEDICAL 6297267 MONUMENT CONSULTING 1800 SUMMIT AVENUE RICHMOND VA 23230 TEMPORARY STAFFING 4386338 NEUROSCAN PO BOX 31455 WALNUT CREEK CA 94598 MEDICAL 3125666 170 40000 22350528 346970 22737498 NET PATIENT SERVICE REVENUE 621400 1460821510 1460821510 PREMIUM REVENUE 621400 31655688 31655688 OTHER PATIENT REVENUE 621400 25743993 25646503 97490 1518221191 31578020 -493345 32071365 0 0 0 0 0 593830777 106000 561225707 24570 32605070 81430 32686500 237813 32448687 134980 40000 57799 77181 77181 0 0 0 0 0 0 0 1605300390 1518123701 -158042 64597233 X 70444077 70444077 0 0 0 10614576 9359933 1254643 0 601385272 530301533 71083739 36661874 28676918 7984956 83848593 75799128 8049465 38016829 32325710 5691119 16282463 13844978 2437485 15061395 7316826 7744569 736848 368424 368424 56701 56701 0 5030674 5030674 228930316 210280845 18649471 0 17817580 17461228 356352 9928953 8620317 1308636 0 65795825 42115908 23679917 4075835 2934601 1141234 0 0 18544191 17335110 1209081 0 83099176 68955696 14143480 6828157 3616192 3211965 MEDICAL SUPPLIES 117630151 117630151 PHARMACEUTICALS 35890491 35890491 UNCOLLECTIBLE ACCOUNTS 29882933 29882933 LICENSES & TAXES 4141848 2651197 1490651 41370070 25871404 15498666 1542074828 1351740301 190334527 0 13335 13335 60236429 49109663 0 0 241984705 244834523 0 0 0 0 0 0 7909242 8376861 52578096 19188536 1763177549 888276172 900245455 874901377 958875927 890876760 326073931 317146310 147117002 149582694 46667 702013 116914411 131957968 2811995200 2686690040 200019429 198851465 0 0 12771107 9965431 624090100 616990161 0 0 0 0 5234713 4289413 0 0 247505254 238113775 1089620603 1068210245 X 1721480403 1617677434 894194 802361 0 0 1722374597 1618479795 2811995200 2686690040 X 63225562 -128921627 1026685 -39225422 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 636 false true 56065 56701 false false DIRECT CONTACT WITH LEGISLATURES SCHEDULE C, PART II-B, LINE IG JOHN MUIR HEALTH EXECUTIVES AND STAFF COMMENT ON PROPOSED LEGISLATION OF FEDERAL, STATE AND LOCAL GOVERNMENTAL BODIES THAT AFFECT THE HEALTH CARE INDUSTRY IN CONTRA COSTA COUNTY. JOHN MUIR HEALTH ALSO RETAINS AN OUTSIDE FIRM TO ASSIST ITS EXECUTIVES TO TRACK, ANALYZE AND PROVIDE COMMENTS ON PROPOSED LEGISLATION OF STATE GOVERNMENT BODIES THAT AFFECT THE HEALTH CARE INDUSTRY. OTHER ACTIVITIES SCHEDULE C, PART II-B, LINE 1I JOHN MUIR HEALTH CONTRIBUTED $56,065 TO CALIFORNIA COMMITTEE ON ISSUES (CHCI) SPONSORED BY CALIFORNIA ASSOCIATION OF HOSPITALS AND HEALTH SYSTEM (CAHHS) IN 2018 TO SUPPORT LOBBYING EFFORTS. 39241129 39241129 980994293 382312284 598682009 8983640 4863907 4119733 708350423 501099981 207250442 25608064 25608064 874901377 COMMINGLED FUNDS 101163524 F HEDGE FUNDS 95075595 F PRIVATE EQUITY 120907191 F 317146310 SAN RAMON MEDICAL CTR & OTHER 127020840 F CANOPY JOINT VENTURE 3554872 F BAY HEALTH JOINT VENTURE 13605267 F HACIENDA SURGERY CENTER 4238693 F SAN RAMON NETWORK JOINT VENTUR 1163022 F 149582694 0 WORKERS COMPENSATION 39026144 POST RETIREMENT BENEFIT OBLIGATION 67076467 INTEREST PAYABLE 4806288 GOVERNMENT PAYABLE 4392703 ASSET RETIREMENT OBLIGATION 15991306 PENSION LIABLITY 30663395 PROFESSIONAL LIABILITY 6595070 OTHER PAYABLES 21734688 MANAGED CARE PREMIUMS DEFICIENCY 39097721 OTHER LIABILITIES 8729993 238113775 X 1402239734 -128921627 -39225422 -168147049 1570386783 5030674 29882933 34913607 1605300390 1507161221 1507161221 5030674 29882933 34913607 1542074828 UNCERTAIN TAX POSITIONS SCHEDULE D, PART X, LINE 2: THE HEALTH SYSTEM RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED USING THE LARGEST AMOUNT THAT EXCEEDS A 50% PROBABILITY OF BEING REALIZED. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN ESTIMATE OCCURS. REVENUE INCLUDED ON FORM 990, NOT ON AUDITED FINANCIAL STATEMENTS SCHEDULE D, PART XI, LINE 2D CHANGE IN UNAMORTIZED LOSS AND PRIOR SERVICES COSTS $-39,225,422 RELATED TO PENSION AND POST RETIREMENT BENEFITS REVENUE INCLUDED ON AUDITED FINANCIAL STATEMENTS, NOT ON FORM 990 SCHEDULE D, PART XI, LINE 4B UNCOLLECTIBLE ACCOUNTS REPORTED NET OF $29,882,933 REVENUE ON FINANCIAL STATEMENTS EXPENSES INCLUDED ON AUDITED FINANCIAL STATEMENTS, NOT ON FORM 990 SCHEDULE D, PART XII, LINE 4B UNCOLLECTIBLE ACCOUNTS REPORTED AS EXPENSE $29,882,933 ON FORM 990 Central America and the Caribbean Investments 111734178 Europe (Including Iceland and Greenland) Investments 11522570 123256748 123256748 true false true true true false GOLF TOURNAMENT 174980 40000 134980 51000 1238 5561 0 174980 40000 134980 51000 1238 5561 57799 77181 true true X true X 400. true X true true true false true true 5596095 5596095 0.00390 89307868 89307868 0.06190 94903963 94903963 0.06580 7467266 556319 6910947 0.00480 10881444 5564606 5326838 0.00370 1398717 1398717 0.00100 1729828 136280 1593548 0.00180 2670278 116058 2554220 0.00110 24147533 6373263 17784270 0.01240 119051496 6373263 112688233 0.07820 9042 9042 14051 14051 26904 26904 343755 343755 0.00020 393752 393752 0.00020 true 29882933 368812908 668322600 -299509692 X true true ASPEN SURGERY CENTER OPERATES A MULTISPECIALTY CENTER AMBULATORY SURGERY CENTER 0.2868 0.01 0.4639 BRENTWOOD SURGERY OPERATES A MULTISPECIALTY CENTER AMBULATORY SURGERY CENTER 0.3344 0.375 HACIENDA SURGERY OPERATES A MULTISPECIALTY CENTER AMBULATORY SURGERY CENTER 0.125 0.476 2 1 John Muir Medical Center Walnut Creek 1601 Ygnacio Valley Rd Walnut Creek CA 94598 www.johnmuirhealth.com 140000265 X X X A 2 John Muir Medical Center Concord 2540 East St Concord CA 94520 www.johnmuirhealth.com 140000128 X X X A FACILITY REPORTING GROUP - A 12 false false true X X X X X X X X X 16 true true true true X SEE PART V, SECTION C X true 16 true SEE PART V, SECTION C false true X 400. 400. X X X X X X true true X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false FACILITY REPORTING GROUP A PART V, SECTION B FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: JOHN MUIR MEDICAL CENTER WALNUT CREEK - FACILITY 2: JOHN MUIR MEDICAL CENTER CONCORD COMMUNITY INPUT PROCESS PART V, SECTION B, LINE 5 JOHN MUIR HEALTH (JMH) COLLECTED INPUT IN THREE WAYS. FIRST, COMMUNITY INPUT WAS PROVIDED BY A BROAD RANGE OF COMMUNITY MEMBERS THROUGH THE USE OF KEY INFORMANT INTERVIEWS AND FOCUS GROUPS. REPRESENTATIVES FROM STATE, LOCAL, TRIBAL OR OTHER REGIONAL GOVERNMENT PUBLIC HEALTH DEPARTMENTS WITH KNOWLEDGE, INFORMATION AND EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY WERE CONSULTED. OTHER INDIVIDUALS WITH EXPERTISE OF LOCAL HEALTH NEEDS WERE ALSO CONSULTED. TEN COMMUNITY REPRESENTATIVES OF VARIOUS ORGANIZATIONS AND SECTORS WHO EITHER WORK IN THE HEALTH FIELD OR IMPROVE HEALTH CONDITIONS BY SERVING THOSE FROM THE TARGET POPULATIONS WERE CONSULTED. SECOND, TEN CONTRA COSTA COUNTY EXPERTS FROM VARIOUS ORGANIZATIONS INCLUDING PUBLIC HEALTH OFFICERS, COMMUNITY CLINIC MANAGERS AND CLINICIANS WITH COUNTRYWIDE EXPERIENCE AND EXPERTISE WERE INTERVIEWED. THEY WERE ASKED TO IDENTIFY THE TOP NEEDS OF THEIR CONSTITUENTS, INCLUDING SPECIFIC GROUPS OR AREAS WITH GREATER OR SPECIAL NEEDS. THIRD, DISCUSSIONS WITH FOCUS GROUPS THAT REPRESENTED UNDERSERVED, IN POVERTY, AND/OR SOCIALLY OR LINGUISTICALLY ISOLATED WERE HELD. THE DISCUSSION INCLUDED QUESTIONS ABOUT THE COMMUNITY'S TOP HEALTH NEEDS, THE DRIVERS OF THOSE NEEDS, THE COMMUNITY'S EXPERIENCE OF HEALTHCARE ACCESS AND BARRIERS TO ACCESS AND ASSETS AND RESOURCES THAT EXIST OR NEEDED TO ADDRESS THE COMMUNITY'S TOP HEALTH NEEDS. THE FOUR FOCUS GROUPS CONSIST OF: 1. PITTSBURG HIGH SCHOOL AFRICAN AMERICAN PARENT GROUP: 7 PARTICIPANTS REPRESENTING AFRICAN AMERICAN, LOW INCOME MINORITY. 2. FIRST 5 CONTRA COSTA: 11 PARTICIPANTS REPRESENTING LATINO, SPANISH SPEAKING LOW INCOME MINORITY. 3. MONUMENT CRISIS CENTER: 11 PARTICIPANTS REPRESENTING MEDICALLY UNDERSERVED, LOW INCOME. 4. PITTSBURG HEALTH CENTER/COMMUNITY HEALTH WORKERS: 6 PARTICIPANTS REPRESENTING MEDICALLY UNDERSERVED, LOW INCOME MINORITY. OTHER HOSPITAL FACILITIES INCLUDED IN CHNA PART V, SECTION B, LINE 6A ALL JOHN MUIR HEALTH HOSPITAL FACILITIES (JOHN MUIR MEDICAL CENTER, WALNUT CREEK; JOHN MUIR MEDICAL CENTER, CONCORD; AND JOHN MUIR BEHAVIORAL HEALTH) COLLABORATED WITH KAISER PERMANENTE DIABLO, EAST BAY AND GREATER SOUTHERN ALAMEDA, SAINT ROSE HOSPITAL, SAN RAMON REGIONAL MEDICAL CENTER, LLC, STANFORD HEALTH CARE-VALLEY CARE, UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND AND WASHINGTON HOSPITAL HEALTHCARE SYSTEM ON THE COMMUNITY HEALTH NEEDS ASSESSMENT. OTHER NON-HOSPITAL ORGANIZATIONS INCLUDED IN CHNA PART V, SECTION B, LINE 6B THE 2016 CHNA WAS CONDUCTED WITH APPLIED SURVEY RESEARCH (ASR), A SOCIAL RESEARCH FIRM. FOR THIS ASSESSMENT, ASR CONDUCTED PRIMARY RESEARCH, COLLECTED SECONDARY DATA, SYNTHESIZED PRIMARY AND SECONDARY DATA, FACILITATED THE PROCESS OF IDENTIFICATION OF COMMUNITY HEALTH NEEDS AND ASSETS AND OF PRIORITIZATION OF COMMUNITY HEALTH NEEDS. ASR'S EXPERTISE IN COMMUNITY ASSESSMENTS IS WELL-RECOGNIZED. ASR WON A FIRST PLACE AWARD IN 2007 FOR HAVING THE BEST COMMUNITY ASSESSMENT PROJECT IN THE COUNTRY. THE ASR TEAM HAS A 35-YEAR HISTORY OF WORKING WITH VULNERABLE AND UNDERSERVED POPULATIONS, INCLUDING YOUNG CHILDREN, TEEN MOTHERS, SENIORS, LOW-INCOME FAMILIES, IMMIGRANT FAMILIES, FAMILIES WHO HAVE EXPERIENCED DOMESTIC VIOLENCE AND CHILD MALTREATMENT, THE HOMELESS, AND CHILDREN AND FAMILIES WITH DISABILITIES. CHNA REPORT MADE WIDELY AVAILABLE TO PUBLIC PART V, SECTION B, LINE 7A THE CHNA REPORT WAS MADE WIDELY AVAILABLE AT THE FOLLOWING URL: WWW.JOHNMUIRHEALTH.COM/ABOUT-JOHN-MUIR-HEALTH/COMMUNITY-COMMITMENT.HTML WEBSITE FOR ADOPTED IMPLEMENTATION STRATEGY PART V, SECTION B, LINE 10A THE HOSPITAL'S MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY IS AVAILABLE AT THE FOLLOWING URL: WWW.JOHNMUIRHEALTH.COM/ABOUT-JOHN-MUIR-HEALTH/COMMUNITY-COMMITMENT.HTML SIGNIFICANT NEEDS ADDRESSED IN CHNA PART V, SECTION B, LINE 11 THE 2016 CHNA IDENTIFIED EIGHT PRIORITIZED HEALTH NEEDS RESULTING FROM A COMPREHENSIVE REVIEW OF OVER 150 HEALTH INDICATORS, FOCUS GROUPS AND KEY INFORMANT INTERVIEWS WITH RESIDENTS WHO REPRESENT THE PERSPECTIVE OF VULNERABLE POPULATIONS IN OUR SERVICE AREA. 1. OBESITY, DIABETES, HEALTHY EATING AND ACTIVE LIVING 2. ECONOMIC SECURITY 3. HEALTHCARE ACCESS AND DELIVERY INCLUDING PRIMARY AND SPECIALTY CARE 4. ORAL/DENTAL HEALTH 5. MENTAL HEALTH 6. SUBSTANCE ABUSE 7. UNINTENTIONAL INJURIES 8. VIOLENCE/INJURY PREVENTION HOSPITAL REPRESENTATIVES PRIORITIZED HEALTH NEEDS WITH LOCAL COMMUNITY, PUBLIC HEALTH REPRESENTATIVES. TO FURTHER REFINE AND SELECT THE COMMUNITY HEALTH NEEDS WE PLAN TO ADDRESS, FOUR CRITERIA WERE UTILIZED. SELECTION PROCESS: THE COMMUNITY BENEFIT OVERSIGHT COMMITTEE IS CHARGED WITH OVERSEEING THE STRATEGIC DIRECTION OF COMMUNITY BENEFIT PROGRAM AND ACTIVITIES. THE COMMITTEE IS COMPOSED OF JOHN MUIR HEALTH EXECUTIVES AND COMMUNITY BOARD OF DIRECTORS MEMBERS. THE COMMITTEE MET ON JULY 6, 2016 TO REVIEW THE LIST OF COMMUNITY HEALTH NEEDS IDENTIFIED AND PRIORITIZED BY THE CHNA REPORT AND TO SELECT THE COMMUNITY HEALTH NEEDS THAT JOHN MUIR HEALTH WILL FOCUS COMMUNITY BENEFIT ON FROM 2016 TO 2018. THE FOLLOWING SELECTION CRITERIA WERE USED AS A METHOD TO PRIORITIZE AND SELECT THE COMMUNITY BENEFIT PRIORITIES. THE SELECTION CRITERIA BUILT ON CHNA PRIORITIZATION CRITERIA, WHICH INCLUDED: (1) SEVERITY OF NEED; (2) MAGNITUDE/SCALE OF NEED; (3) CLEAR DISPARITIES OR INEQUITIES; (4) COMMUNITY PRIORITY. THE COMMITTEE MEMBERS FIRST AGREED UPON THE SELECTION CRITERIA. THE COMMITTEE THEN SCORED EACH COMMUNITY HEALTH NEEDS BETWEEN 1 (DOES NOT MEET CRITERIA) AND 3 (STRONGLY MEETS CRITERIA). THE SCORES WERE COMPILED TO IDENTIFY THE TOP SCORING HEALTH NEEDS. AFTER DISCUSSION BY ALL MEMBERS REGARDING RATIONALE FOR SELECTION, THE COMMITTEE CAME TO A CONSENSUS ON THE FOLLOWING FOCUS AREAS. SUMMARY OF COMMUNITY HEALTH NEEDS JOHN MUIR HEALTH PLANS TO ADDRESS: 1. HEALTHCARE ACCESS AND DELIVERY IN 2018, JOHN MUIR HEALTH LED THE FOLLOWING PROGRAMS TO ADDRESS HEALTHCARE ACCESS: - CARING HANDS AND SENIOR TRANSPORTATION PROGRAM - COMMUNITY SCHOOL NURSE PROGRAM WHICH PROVIDED MORE THAN 5,200 ENCOUNTERS AND PROVIDES SERVICES SUCH AS VISION, HEARING AND LICE SCREENINGS, FIRST AID TREATMENTS, 504 INDIVIDUAL EDUCATION PLANS, MEDICATION ADMINISTRATION OR MANAGEMENT, COMMUNICATING WITH PRIMARY CARE PROVIDERS, CLASSROOM OBSERVATIONS AND FAMILY CONSULTATIONS. - EVERY WOMAN COUNTS BREAST CANCER SCREENING PROGRAM - LUNG CANCER SCREENING PROGRAM LED BY CLINICAL RESEARCH - MEDICATION ASSISTANCE PROGRAM FOR SENIOR SERVICES - MOBILE HEALTH CLINIC, PATIENT NAVIGATOR FOR SENIOR SERVICES - RONALD MCDONALD MOBILE DENTAL AND DENTAL COLLABORATIVE OF CONTRA COSTA - SPECIALTY PROGRAM. IN ADDITION TO THESE JOHN MUIR HEALTH LED PROGRAMS, JOHN MUIR HEALTH ALSO PARTNERED WITH THE COMMUNITY TO INCREASE ACCESS TO CARE. AMONG THE COMMUNITY PARTNERSHIPS ARE: - CONTRA COSTA CARES A PRIMARY CARE COVERAGE FOR THE UNINSURED - CONTRA COSTA HEALTH SERVICES HEALTHCARE FOR THE HOMELESS, MOBILE HEALTH CLINIC, MOBILE DENTAL CLINIC, RESPITE CENTER FOR THE HOMELESS - MT. DIABLO AND PITTSBURG UNIFIED SCHOOL DISTRICTS AND DE LA SALLE ACADEMY COMMUNITY SCHOOL NURSE PROGRAM - INDEPENDENT LIVING RESOURCES MEDICAL EQUIPMENT LOANS AND SUPPORT SERVICES - LA CLINICA DE LA RAZA DIABETES SERVICES, MOBILE DENTAL CLINIC AND SPECIALTY CARE PROGRAM - LIFELONG MEDICAL CARE MOBILE DENTAL CLINIC - MEALS ON WHEELS OF DIABLO REGION FALL PREVENTION PROGRAM - MONUMENT CRISIS CENTER FOOT CARE SCREENING - OPERATION ACCESS OUTPATIENT SURGICAL AND SPECIALTY CARE - ROTACARE PITTSBURG MOBILE HEALTH CLINIC - ST. VINCENT DE PAUL MOBILE HEALTH CLINIC - VILLAGE COMMUNITY RESOURCE CENTER MOBILE HEALTH CLINIC 2. MENTAL HEALTH IN 2018, JOHN MUIR HEALTH LED TWO PROGRAMS TO HELP COMBAT MENTAL HEALTH AND BEHAVIORAL HEALTH ISSUES. - BEYOND VIOLENCE IS A PROGRAM LED BY TRAUMA SERVICES AND SOCIAL SERVICES. THE GOALS OF THE PROGRAM ARE TO REDUCE THE PREVALENCE OF COMMUNITY VIOLENCE IN CONTRA COSTA COUNTY, EMPOWER THOSE AFFECTED BY VIOLENCE AND AID IN THE HEALING OF INDIVIDUALS AND COMMUNITIES THROUGH EMOTIONAL SUPPORT AND SAFETY NET RESOURCES. - COMPLEX COMMUNITY CARE COORDINATION IS ALSO LED BY SOCIAL SERVICES IN ADDITION TO THESE JOHN MUIR HEALTH LED PROGRAMS, JOHN MUIR HEALTH PARTNERED WITH THE COMMUNITY ON THE FOLLOWING PROGRAMS: - FRED FINCH YOUTH CENTER MENTAL HEALTH SERVICES - MONUMENT IMPACT POSITIVE MINDS IN ACTION (MENTES POSITIVAS EN ACCION) PROMOTORES PROGRAM - ONE DAY AT A TIME BEYOND VIOLENCE - PUTNAM CLUBHOUSE BEHAVIORAL HEALTH SUPPORT SERVICES - RYSE CENTER BEYOND VIOLENCE. RYSE CENTER IS A KEY PARTNER IN THE TRANSITION OF YOUNG PEOPLE FROM THE HOSPITAL TO THE COMMUNITY. THE RANGE OF SUPPORTIVE SERVICES AT RYSE IS HOLISTIC, INCLUDING YOUTH- CENTRIC MENTAL HEALTH SERVICES, CASE MANAGEMENT AND VIBRANT PROGRAMMING IN MUSIC, VIDEO PRODUCTION, GRAPHIC DESIGN, PERFORMING ARTS AND EDUCATION SUPPORT. RYSE IS A VIBRANT, MULTIFACETED SPACE USE BY 50-80 YOUTH PER DAY. 3. OBESITY, DIABETES, HEALTHY EATING AND ACTIVE LIVING IN ORDER TO MAKE HEALTHY CHOICES JOHN MUIR HEALTH LED THE FOLLOWING PROGRAMS IN 2018: - DIABETES SERVICES HEALTH EDUCATION - SENIOR SERVICES HEALTH EDUCATION - WELLNESS SERVICES HEALTH EDUCATION AND SUPPORT SERVICES. JOHN MUIR HEALTH ALSO PARTNERED WITH THE FOLLOWING TO HELP SUPPORT HEALTHY CHOICES: - FOOD BANK OF CONTRA COSTA AND SOLANO - HEALTH AND ACTIVE BEFORE 5 HEALTH EATING AND ACTIVE PLAY FOR CHILDREN - WHITE PONY EXPRESS FOOD ACCESS. JOHN MUIR HEALTH WILL NOT ADDRESS THE FOLLOWING HEALTH NEEDS: 1. ECONOMIC SECURITY 2. ORAL/DENTAL HEALTH 3. UNINTENTIONAL INJURIES 4. VIOLENCE/INJURY PREVENTION 5. SUBSTANCE ABUSE JMH RECOGNIZES THE IMPORTANCE OF EACH OF THE PRIORITIZED COMMUNITY HEALTH NEEDS. HOWEVER, JMH'S EXPERIENCE IS THAT OUR INVESTMENTS COULD HAVE THE MOST IMPACT ON COMMUNITY HEALTH BY FOCUSING RESOURCES ON A FEW COMMUNITY HEALTH NEEDS. THE COMMITTEE RECOGNIZES THAT MANY HEALTH NEEDS COULD BE ADDRESSED BY SUPPORTING THE PRIORITIZED NEEDS. FOR EXAMPLE, JMH WILL SUPPORT EFFORTS TO REDUCE VIOLENCE BY SUPPORTING BEHAVIORAL HEALTH IN THE COMMUNITY. JMH'S SELECTED HEALTH NEEDS DO NOT REPRESENT EVERYTHING JMH DOES TO IMPROVE COMMUNITY HEALTH. FOR EXAMPLE, JMH IS ADDRESSING ORAL/DENTAL HEALTH THROUGH IT'S PARTNERSHIP WITH THE CONTRA COSTA MOBILE HEALTH CLINIC. AS A LEADING EMPLOYER IN THE REGION, JMH IS ALSO ADDRESSING ECONOMIC SECURITY INDIRECTLY THROUGH EMPLOYMENT AND WORKFORCE DEVELOPMENT. JMH WILL CONTINUE TO BE A PART OF THE DIALOGUE AND WILL LOOK FOR COLLABORATION OPPORTUNITIES RELATED TO THE ABOVE HEALTH NEEDS THAT JMH DOES NOT INTEND TO ADDRESS WITH THE MAJORITY OF OUR COMMUNITY BENEFIT RESOURCES. INCOME LEVEL OTHER THAN FPG PART V, SECTION B, LINE 13B OTHER CRITERIA USED IS BASED ON THE PATIENT'S ELIGIBILITY FOR LOW-INCOME PROGRAMS THAT HAVE THE SAME OR MORE STRICT (LOWER) INCOME CRITERIA AS THE JOHN MUIR HEALTH CHARITY CARE PROGRAM. THIS INCLUDES PATIENTS WHO ARE QUALIFIED WITH SIX MONTHS OF THE DATE OF SERVICE FOR THE CALIFORNIA MEDICAID (MEDI-CAL) PROGRAM, OR FOR THE COUNTRY'S MEDICALLY INDIGENT PROGRAM. ADDITIONALLY, THE ORGANIZATION USES ESTIMATED FEDERAL POVERTY GUIDELINES DEVELOPED BY A CONTRACTED THIRD PARTY. THE THIRD PARTY DEVELOPED AN ALGORITHM BASED ON ESTIMATED HOUSEHOLD INCOME, WHICH IS THEN TRANSLATED INTO FPG FOR THE HOUSEHOLD. WEBSITE ADDRESS FOR FINANCIAL ASSISTANCE POLICY PART V, SECTION B, LINE 16A THE FAP WAS WIDELY AVAILABLE AT THE FOLLOWING URL: WWW.JOHNMUIRHEALTH.COM/PATIENTS-AND-VISITORS/PAYMENT-AND-INSURANCE/PATI ENT-FINANCIAL-ASSISTANCE-PROGRAM/PATIENT-FINANCIAL-ASSISTANCE.HTML WEBSITE FOR FINANCIAL ASSISTANCE POLICY APPLICATION FORM PART V, SECTION B, LINE 16B THE FAP APPLICATION FORM WAS WIDELY AVAILABLE AT THE FOLLOWING URL: WWW.JOHNMUIRHEALTH.COM/PATIENTS-AND-VISITORS/PAYMENT-AND-INSURANCE/PATI ENT-FINANCIAL-ASSISTANCE-PROGRAM/PATIENT-FINANCIAL-ASSISTANCE.HTML WEBSITE ADDRESS FOR PLAIN LANGUAGE SUMMARY OF FINANCIAL ASSISTANCE POLICY PART V, SECTION B, LINE 16C A PLAIN LANGUAGE SUMMARY OF THE FAP WAS WIDELY AVAILABLE AT THE FOLLOWING URL: WWW.JOHNMUIRHEALTH.COM/PATIENTS-AND-VISITORS/PAYMENT-AND-INSURANCE/PATI ENT-FINANCIAL-ASSISTANCE-PROGRAM/PATIENT-FINANCIAL-ASSISTANCE.HTML ELIGIBILITY CRITERIA USED FOR DETERMINING FREE OR DISCOUNTED CARE PART I, LINE 3C THE MAJORITY OF CHARITY CARE IS GIVEN BASED EITHER IN THE FEDERAL POVERTY GUIDELINES ("FPG") AS CALCULATED FROM DOCUMENTATION AND STATEMENTS MADE ON THE INTERNAL JOHN MUIR HEALTH CHARITY CARE APPLICATION, OR ON THE FPG AS ESTIMATED BY A CONTRACTED THIRD PARTY. THE THIRD PARTY HAD DEVELOPED AN ALGORITHM BASED ON ESTIMATED HOUSEHOLD INCOME, WHICH IS THEN TRANSLATED INTO FPG FOR THE HOUSEHOLD. JOHN MUIR HEALTH HAS NO INPUT INTO THE CRITERIA USED FOR THE ALGORITHM, WHICH IS THE SAME CALCULATION USED BY THE CONTRACTED THIRD PARTY FOR ALL OF THEIR CLIENTS NATIONWIDE. OTHER CRITERIA USED IS BASED ON THE PATIENT'S ELIGIBILITY FOR LOW-INCOME PROGRAMS THAT HAVE THE SAME OR MORE STRICT (LOWER) INCOME CRITERIA AS THE JOHN MUIR HEALTH CHARITY CARE PROGRAM. THIS INCLUDES PATIENTS WHO ARE QUALIFIED WITH SIX MONTHS OF THE DATE OF SERVICE FOR THE CALIFORNIA MEDICAID (MEDI-CAL) PROGRAM, OR FOR THE COUNTY'S MEDICALLY INDIGENT PROGRAM. IN ADDITION TO FORMAL QUALIFICATION IN A RECOGNIZED PROGRAM SERVING THE LOW-INCOME AND INDIGENT POPULATION, CHARITY CARE IS ALSO EXTENDED TO PATIENTS SEEN IN OUR EMERGENCY DEPARTMENTS AND WHO HAVE BEEN DOCUMENTED IN THE MEDICAL RECORDS AS BEING HOMELESS, OR HAVE A LACK OF HOUSING. CHARITY CARE IS ALSO APPLIED TO OUTSTANDING BALANCE FOR EMERGENCY SERVICES RENDERED TO DOCUMENTED MINOR AND ELDERLY VICTIMS OF ABUSE, BASED ON COMPASSION AS JOHN MUIR HEALTH HAS NO KNOWLEDGE OF THE CURRENT HOME ENVIRONMENT OF THESE PATIENTS. WE ALSO HAVE A PARTNERSHIP WITH A COMMUNITY PROGRAM, OPERATION ACCESS, WHICH SERVES THE LOW-INCOME INDIVIDUALS IN OUR COUNTY, TO PROVIDE FREE CARE ON A REFERRED, CASE-BY-CASE BASIS. OPERATION ACCESS HAS ALREADY PERFORMED THE SCREENING OF THEIR REFERRED PATIENTS FOR INCOME ELIGIBILITY. JMH CONTINUED A PARTNERSHIP WITH LA CLINICA DE LA RAZA TO PROVIDE SPECIALTY CARE FOR UNINSURED AND LOW INCOME PATIENTS. LA CLINICA DE LA RAZA HAS ALREADY PERFORMED SCREENING OF THEIR REFERRED PATIENTS FOR INCOME ELIGIBILITY. MEDICALLY INDIGENT CARE PART I, LINE 4 WE PROVIDE HEALTH CARE TO THE MOST VULNERABLE INDIVIDUALS OF OUR COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY THROUGH OUR MEDICAL CENTERS IN WALNUT CREEK AND CONCORD. THIS INCLUDES THE CRITICAL EMERGENCY AND TRAUMA SERVICES AT OUR MEDICAL CAMPUSES. JOHN MUIR HEALTH HAS A NUMBER OF PROGRAMS TO HELP OUR PATIENTS WITH THEIR MEDICAL BILLS FOR SERVICES THEY RECEIVE AT ONE OF OUR MEDICAL CENTERS. THESE PROGRAMS INCLUDE A PATIENT ASSISTANCE PROGRAM TO ABSORB PART, OR ALL, OF THE BILL BASED ON INCOME AND OTHER PROGRAM GUIDELINES, ASSISTANCE ENROLLING IN A NUMBER OF INSURANCE PROGRAMS, AND EXTENDED PAYMENT PLANS. JOHN MUIR HEALTH MAY ALSO ASSIGN ACCOUNTS TO PRESUMPTIVE CHARITY, WITHOUT A PATIENT ASSISTANCE APPLICATION SUBMITTED BY THE PATIENT, BASED ON PREDETERMINED CRITERIA COLLECTED FROM APPROVED SOURCES. THIS CRITERIA INCLUDES: THE PATIENT HAVING DOCUMENTED IN HIS/HER MEDICAL RECORD AS BEING HOMELESS OR VERIFICATION RECEIVED THROUGH THE MEDICAL CENTER OR A FAMILY MEMBER THAT THE PATIENT IS CURRENTLY INCARCERATED. OR THE PATIENT QUALIFIES FOR A GOVERNMENT PROGRAM WITH ELIGIBILITY REQUIREMENTS THAT REASONABLY MEET THE QUALIFICATIONS FOR THE JOHN MUIR HEALTH CHARITY CARE PROGRAM WITHIN SIX (6) MONTHS OF THE DATE THE PATIENT RECEIVED SERVICES AT THE MEDICAL CENTER. OR AFTER NORMAL COLLECTION EFFORTS HAVE NOT PRODUCED ANY PAYMENT, AND JOHN MUIR HEALTH HAS IDENTIFIED WITH REASONABLE EFFORT AND ASSURANCE THAT THE PATIENT'S ESTIMATED INCOME IS AT 250 PERCENT OR LESS OF THE FPL (FEDERAL POVERTY LEVEL). COMMUNITY BENEFIT REPORT PART I, LINE 6A ALL JOHN MUIR HEALTH ENTITIES (WALNUT CREEK CAMPUS, CONCORD CAMPUS AND BEHAVIORAL HEALTH) REPORT COMMUNITY BENEFIT INFORMATION AS PART OF THE JOHN MUIR HEALTH ANNUAL COMMUNITY BENEFIT REPORT. FINANCIAL ASSISTANCE POLICY PART I, LINE 7 JOHN MUIR HEALTH HAS ADOPTED THE GUIDELINES DEVELOPED BY THE CATHOLIC HEALTHCARE ASSOCIATION AND VHA INC. FOR REPORTING THE ECONOMIC VALUE OF ITS COMMUNITY BENEFITS CONTRIBUTIONS. FINANCIAL ASSISTANCE PERCENT OF TOTAL EXPENSE PART I, LINE 7, COLUMN (F) THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $29,882,933. COMMUNITY BUILDING ACTIVITIES PART II JOHN MUIR HEALTH'S COMMUNITY BUILDING PROGRAMS AND ACTIVITIES ADDRESS SOCIOECONOMIC BARRIERS TO OPTIMAL PHYSICAL AND MENTAL HEALTH SUCH AS JOBS, EDUCATION, POVERTY, LANGUAGE, CULTURE, RACE, ETHNICITY, TRANSPORTATION, ETC. MANY OF OUR COMMUNITY BUILDING ACTIVITIES ALSO MEET THE DEFINITION OF COMMUNITY BENEFIT. IN 2018, WE PROVIDED SUPPORT TO ORGANIZATIONS WHOSE MISSION IS TO ADDRESS UNDERLYING CAUSES OF HEALTH PROBLEMS THROUGH EVENT SPONSORSHIP. LASTLY, JOHN MUIR HEALTH WORKS WITH A WIDE RANGE OF ORGANIZATIONS TO SUPPORT GREATER EXPOSURE OF YOUTH TO HEALTH CAREERS THROUGH A SPEAKER'S BUREAU, HEALTH CAREER FAIRS, WORKSHOPS, PRESENTATIONS AND HANDS ON LEARNING OPPORTUNITIES IN THE FOLLOWING AREAS: 1. REGISTERED NURSING 2. MEDICAL ASSISTANTS 3. MEDICAL IMAGING TECHNOLOGY 4. SONOGRAPHERS 5. CLINICAL LAB SCIENTIST 6. PHARMACIST AND PHARMACY TECHS 7. THERAPIST/PHYSICAL, OCCUPATIONAL AND SPEECH 8. ENGINEERING AND BIO ENGINEERING 9. NUTRITION SERVICES/DIETITIANS AND CHEFS 10. INFORMATION TECHNOLOGY 11. HEALTHCARE ADMINISTRATION 12. FAMILY MEDICINE PHYSICIANS 13. EMERGENCY SERVICES/ER TECHS, PHYSICIANS AND NURSES PARTNERS: 1. EAST COUNTY BUSINESS EDUCATION ALLIANCE 2. CONTRA COSTA ECONOMIC PARTNERSHIP (CCEP) TO HELP REACH UNDERSERVED POPULATION. 3. JEWISH VOCATION SERVICES (JVS) - DISPLACED WORKER TRAINING TO GET BACK IN THE WORKFORCE 4. CALIFORNIA HOSPITAL ASSOCIATION WORKFORCE COMMITTEE 5. BAY AREA COUNCIL 6. EAST BAY HEALTH WORKFORCE PARTNERSHIP STUDENTS: 1. 17 HIGH SCHOOLS AND HEALTH ACADEMIES 2. 14 UNIVERSITIES 3. 9 STATE COLLEGES 4. 8 JUNIOR COLLEGES 5. 7 PRIVATE COLLEGES BAD DEBT EXPENSE PART III, LINE 2 BAD DEBT IS DETERMINED USING THE COST-TO-CHARGE METHODOLOGY. THE ORGANIZATION DOES NOT INCLUDE BAD DEBT IN COMMUNITY BENEFIT. FINANCIAL STATEMENT FOOTNOTE PART III, LINE 4 THE ORGANIZATION DOES NOT ISSUE SEPARATE, INDEPENDENT AUDITED FINANCIAL STATEMENTS. THE ORGANIZATION IS INCLUDED IN THE JOHN MUIR HEALTH AND SUBSIDIARIES CONSOLIDATED, INDEPENDENT AUDITED FINANCIAL STATEMENTS. SEE PAGES 16 AND 19 OF THE AUDITED FINANCIAL STATEMENTS ATTACHED TO THIS FORM 990. SHORTFALL TREATED AS COMMUNITY BENEFIT PART III, LINE 8 THE ORGANIZATION DOES NOT TREAT MEDICARE SHORTFALL AS COMMUNITY BENEFIT. THE COST TO CHARGE RATIOS USED TO COMPUTE THE MEDICARE SHORTFALLS ARE FROM THE 2018 MEDICARE COST REPORT FILED WITH THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS). COLLECTION PRACTICES PART III, LINE 9B OTHER THAN SENDING STATEMENTS AND NOTIFICATIONS TO THE PATIENT, JOHN MUIR HEALTH DOES NOT CONDUCT PATIENT-OWED COLLECTION INTERNALLY. THESE TYPES OF FUNCTIONS ARE OUTSOURCED TO AN OUTSIDE AGENCY. THE COLLECTION POLICY IS IN THE FORM OF, AND INCORPORATED INTO, THE CONTRACT AGREEMENT WITH THE OUTSIDE AGENCY AS A FULL ADDENDUM TO THE CONTRACT, WITH A SEPARATE SIGNATURE LINE FOR JOHN MUIR HEALTH AND THE AGENCY AS PART OF THE ADDENDUM. IN ADDITION TO THE CUSTOMIZED JOHN MUIR HEALTH COLLECTION GUIDELINES, THE ADDENDUM ALSO CONTAINS THE COLLECTION CRITERIA AND REQUIREMENTS FOUND IN CALIFORNIA LAW UNDER ASSEMBLY BILL 774. NEEDS ASSESSMENT PART VI, LINE 2 THE 2016 HEALTH NEEDS ASSESSMENT INCLUDES A COMPREHENSIVE NEEDS ASSESSMENT OF THE COMMUNITY SERVED, WHICH HAS BEEN USED TO DEVELOP OUR ANNUAL AND TRIENNIAL COMMUNITY BENEFIT PLANS. FOR MORE INFORMATION, THE CHNA REPORT AND IMPLEMENTATION STRATEGY (A.K.A. COMMUNITY HEALTH IMPROVEMENT PLAN) CAN BE FOUND HERE: HTTPS://WWW.JOHNMUIRHEALTH.COM/ABOUT-JOHN-MUIR-HEALTH/COMMUNITY-COMMITMENT IN ADDITION TO THE CHNA, JMH IS CONTINUALLY ASSESSING THE NEEDS OF THE COMMUNITY IN A VARIETY OF WAYS. JOHN MUIR HEALTH DEVELOPS COLLABORATIVE PARTNERSHIPS WITH LOCAL ORGANIZATIONS IN ORDER TO BE RESPONSIVE TO THE NEEDS OF THE MOST VULNERABLE AND UNDERSERVED POPULATIONS IN OUR COMMUNITY. JOHN MUIR HEALTH KEPT ABREAST OF CURRENT HEALTH ISSUES OF IMPORTANCE TO THE COMMUNITY BY ACTIVE PARTICIPATION AND COMMUNICATION WITH A VARIETY OF COMMUNITY GROUPS INCLUDING BUT NOT LIMITED TO DENTAL COLLABORATIVE OF CONTRA COSTA, ACCESS TO CARE STAKEHOLDERS, EAST COUNTY ACCESS ACTION TEAM, HEALTHY AND ACTIVE BEFORE FIVE, FAMILIES COALITION FOR ACTIVITY AND NUTRITION, MOBILE HEALTH CLINIC ASSOCIATION NORTHERN CALIFORNIA ROUNDTABLE, AND THE EAST COUNTY HEALTH AND WEALTH INITIATIVE. THESE SOURCES OF INFORMATION PROVIDE CURRENT INFORMATION REGARDING COMMUNITY HEALTH STATUS AND ALSO HELP IDENTIFY EMERGING NEEDS IN THE SERVICE AREA POPULATION. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI, LINE 3 JOHN MUIR HEALTH HAS SIGNAGE POSTED IN PATIENT ACCESS AREA/LOBBIES INFORMING PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE FOR THEIR HEALTH CARE BILLS AND ELIGIBILITY. SERVICES TO AID THE PATIENT IN QUALIFYING FOR AN APPROPRIATE ASSISTANCE PROGRAM IS POSTED IN THE EMERGENCY DEPARTMENT. ALL PATIENTS RECEIVE A "PATIENT ASSISTANCE" BROCHURE, WHICH IDENTIFIES VARIOUS FINANCIAL ASSISTANCE PROGRAMS AVAILABLE TO THE PATIENT, INCLUDING THE JOHN MUIR HEALTH CHARITY CARE PROGRAM AS WELL AS PROGRAMS THROUGH GOVERNMENT AGENCIES (STATE, COUNTY, ETC). THE BROCHURE ALSO LISTS CONTACT INFORMATION FOR THESE PROGRAMS. PATIENTS IN THE EMERGENCY DEPARTMENT TALK TO A TRAINED FINANCIAL COUNSELOR, AND IF APPROPRIATE, ARE ALSO ASKED TO SIGN A FORM ACKNOWLEDGING RECEIPT OF THE PATIENT ASSISTANCE MATERIALS OR DECLINING TO ACCEPT THE MATERIAL. TRAINED FINANCIAL COUNSELORS ARE ALSO AVAILABLE FOR PATIENTS WHO ARE NOT PRESENT FOR SERVICES THROUGH THE EMERGENCY DEPARTMENT. THE APPLICATION FORM AND A COPY OF THE POLICY FOR THE JOHN MUIR HEALTH CHARITY CARE PROGRAM IS ALSO AVAILABLE IN THE EMERGENCY DEPARTMENT AS WELL AS THE MAJOR PATIENT ACCESS AREAS AND THE BUSINESS OFFICE. NOTIFICATIONS THAT PROGRAMS, INCLUDING CHARITY CARE, ARE AVAILABLE IS ALSO PRINTED ON PATIENT BILLING STATEMENTS, ACCOMPANIED BY THE ABILITY FOR A PATIENT TO REQUEST THE VARIOUS PROGRAM MATERIALS BE SENT TO HIS/HER HOME. CONTACT INFORMATION IS ALSO LISTED IN THE PATIENT STATEMENT. INFORMATION IN THE HEALTH SYSTEM'S CHARITY CARE PROGRAM IS POSTED ON THE JOHN MUIR HEALTH INTERNET WEBSITE AS WELL. PATIENTS ADMITTED TO THE HOSPITAL, AND WHO HAVE NO THIRD PARTY INSURANCE LISTED ARE INTERVIEWED BY TRAINED FINANCIAL COUNSELORS DURING THEIR HOSPITAL STAY TO INFORM THEM OF THE VARIOUS PROGRAMS WHICH ARE AVAILABLE, AND DETERMINE IF THE PATIENT WOULD LIKE ASSISTANCE TO OBTAIN ELIGIBILITY FOR THE STATE MEDICAID (MEDI-CAL) PROGRAM, STATE DISABILITY, CHARITY CARE OR OTHER AVAILABLE PROGRAM IN THE COUNTY. THIS ELIGIBILITY ASSISTANCE, WHICH INCLUDES HELP IN FILLING OUT THE APPLICATION, GATHERING REQUIRED DOCUMENTS, AND TRANSPORTATION TO ELIGIBILITY APPOINTMENTS, IF NECESSARY, IS OFFERED AT NO CHARGE TO THE PATIENT. IN ADDITION, PATIENT ACCOUNTING REPRESENTATIVES MAY ALSO CONTACT PATIENTS AFTER DISCHARGE TO ASK ABOUT PAYMENT ARRANGEMENTS AND TO INFORM THEM OF THE CHARITY CARE PROGRAM IF THE PATIENT NEEDS ASSISTANCE IN PAYING FOR THEIR MEDICAL BILLS. COMMUNITY INFORMATION PART VI, LINE 4 JOHN MUIR HEALTH'S PRIMARY AND SECONDARY SERVICE AREAS EXTENDS FROM SOUTHERN SOLANO COUNTY INTO EASTERN CONTRA COSTA COUNTY AND SOUTH TO SAN RAMON IN SOUTHERN CONTRA COSTA COUNTY. JMH'S TRAUMA CENTER SERVES ALL OF CONTRA COSTA COUNTY, AS WELL AS SOUTHERN SOLANO COUNTY, AND IS A BACKUP TRAUMA CENTER FOR ALAMEDA COUNTY. JMH ALSO SERVES EASTERN ALAMEDA COUNTY IN JOINT VENTURE WITH SAN RAMON REGIONAL MEDICAL CENTER. OUR COMMUNITY BENEFIT PROGRAMS PRIMARILY FOCUS ON THE NEEDS OF THE VULNERABLE POPULATIONS IN CENTRAL AND EASTERN CONTRA COSTA COUNTY, OUR PRIMARY AND SECONDARY SERVICE AREA. WE DEFINE VULNERABLE POPULATIONS AS THOSE WITH EVIDENCED-BASED DISPARITIES IN HEALTH OUTCOMES, SIGNIFICANT BARRIERS TO CARE AND THE ECONOMICALLY DISADVANTAGED. THESE CRITERIA RESULTS IN A PRIMARY COMMUNITY BENEFIT SERVICE AREA THAT INCLUDES THE COMMUNITIES OF THE MONUMENT AREA IN CONCORD AND THE EASTERN CONTRA COSTA COUNTY CITIES OF BAY POINT, PITTSBURG, ANTIOCH, OAKLEY, AND BRENTWOOD, AND THE FAR EAST PART OF UNINCORPORATED CONTRA COSTA COUNTY. THE JOHN MUIR HEALTH SERVICE AREA HAS THE FOLLOWING DEMOGRAPHIC PROFILE: TOTAL POPULATION: 850,361 WHITE: 66.8% BLACK: 6.5% ASIAN: 13.6% NATIVE AMERICAN/ALASKAN NATIVE: <0.05% PACIFIC ISLANDER/NATIVE HAWAIIAN: <0.05% SOME OTHER RACE: 6.3% MULTIPLE RACES: 5.8% HISPANIC/LATINO: 21.9% LIVING AT/BELOW 200% FPL: 21.9% CHILDREN LIVING AT BELOW 100% FPL: 12.0% UNEMPLOYED: 5.3% UNINSURED: 9.5% NO HIGH SCHOOL DIPLOMA: 8.7% PROMOTION OF COMMUNITY HEALTH PART VI, LINE 5 JOHN MUIR HEALTH IS A NOT-FOR-PROFIT, COMMUNITY BASED ORGANIZATION THAT IS GOVERNED BY THOSE WHO LIVE IN THE COMMUNITY WE SERVE. COMMUNITY RESIDENTS ARE ACTIVELY INVOLVED IN OUR VARIOUS BOARDS AND BOARD COMMUNITIES. THE BOARD OF JOHN MUIR HEALTH CONSISTS PRIMARILY OF MEMBERS OF THE COMMUNITY AND STAFF PRIVILEGES ARE AVAILABLE TO QUALIFIED PRACTITIONERS. OUR FOCUS REMAINS FIRMLY ON IMPROVING THE HEALTH OF THE PEOPLE OF CONTRA COSTA COUNTY AND SURROUNDING COMMUNITIES. AS A NOT-FOR-PROFIT ORGANIZATION, THERE ARE NO SHAREHOLDERS WHO BENEFIT FROM OUR FINANCIAL SURPLUSES. INSTEAD, WE REINVEST ANY SURPLUSES INTO THE COMMUNITY WITH NEW PROGRAM IMPLEMENTATION, ADVANCED TECHNOLOGY, COMMUNITY SERVICES AND BUILDING PROJECTS. JMH ALSO CONTRIBUTES SIGNIFICANTLY TO THE ECONOMIC VITALITY OF CONTRA COSTA COUNTY BY EMPLOYING OVER 6,500 IN 2018. JOHN MUIR MEDICAL CENTER, WALNUT CREEK ALSO SERVES AS CONTRA COSTA COUNTY'S ONLY TRAUMA CENTER, WHICH REPRESENTS AN ENORMOUS FINANCIAL AND SERVICE COMMITMENT TO THE ENTIRE REGION. OUR TWO HOSPITALS EMERGENCY DEPARTMENT SERVE ALL RESIDENTS REGARDLESS OF THEIR ABILITY TO PAY. AS A NOT-FOR-PROFIT, JMH HAS AN OBLIGATION TO MAKE A CHARITABLE CONTRIBUTION TO THE COMMUNITY, BUT OUR COMMITMENT TO KEEPING THE COMMUNITIES WE SERVE GOES FAR DEEPER THAN THAT. JMH'S MISSION TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE WITH QUALITY AND COMPASSION ACCURATELY REFLECTS OUR COMMUNITY HEALTH EFFORTS AS A CORPORATE LEADER AND COMMUNITY PARTNER. SOME OF THE PROGRAMS INCLUDE TREATING PATIENTS REFERRED BY LOCAL COMMUNITY CLINICS FOR SPECIALTY CARE SERVICES, PROVIDING MOBILE HEALTH CLINIC SERVICES IN UNDERSERVED COMMUNITIES, PROVIDING BREAST AND LUNG CANCER SCREENING FOR UNINSURED COMMUNITY MEMBERS AND SUPPORTING DEPRESSION PREVENTION ACTIVITIES FOR LOW-INCOME. JMH SERVED OVER 140,223 RESIDENTS THROUGH COMMUNITY BENEFIT ACTIVITIES IN 2018. JMH'S COMMITMENT TO THE LOCAL COMMUNITY IS EXPRESSED IN THE MANY INITIATIVES WE DELIVER. JMH PROVIDES CHARITY CARE FOR MANY INDIVIDUALS AND FAMILIES WITH NO INSURANCE AND LIMITED MEANS. IN 2018, WE PROVIDED $5.6 MILLION IN CHARITY CARE COST. JMH ALSO ABSORBED $89.3 MILLION, THE COST OF PROVIDING CARE TO INDIVIDUALS THAT EXCEEDS THE PAYMENT WE RECEIVED FROM MEDI-CAL. JOHN MUIR HEALTH ALSO PROVIDES BROAD FINANCIAL AND TECHNICAL SUPPORT TO PROMOTE COMMUNITY WELLNESS. THE ORGANIZATION CONTRIBUTES $1 MILLION A YEAR TO THE JOHN MUIR/MT. DIABLO COMMUNITY HEALTH FUND EACH YEAR, WHOSE GOAL IS TO FOSTER SYSTEMIC CHANGE THAT IMPROVES THE HEALTH OF PEOPLE IN CENTRAL AND EAST CONTRA COSTA COUNTY WHO ARE MOST LIKELY TO EXPERIENCE HEALTH CARE DISPARITIES. LASTLY, JMH CONTRIBUTES TO THE COMMUNITY IN MANY NON-QUANTIFIABLE WAYS THAT IS NOT OUTLINED IN THE REPORT. THE HEALTH SYSTEM CONTINUALLY PROVIDES LEADERSHIP IN THE COMMUNITY, ASSISTS WITH LOCAL CAPACITY BUILDING AND PARTICIPATES IN COMMUNITY-WIDE HEALTH PLANNING. JOHN MUIR HEALTH STAFF ARE ACTIVELY INVOLVED IN COMMUNITY ORGANIZATIONS AS VOLUNTEERS. THEIR LEADERSHIP IN THE COMMUNITY HELPS TO DEVELOP PARTNERSHIPS TO ADDRESS THE NEEDS OF THE VULNERABLE AND UNDERSERVED. THE FOLLOWING ARE EXAMPLES OF NON-QUANTIFIABLE BENEFITS PROVIDED TO THE COMMUNITY IN 2018. JOHN MUIR HEALTH'S COMMITMENT TO ENVIRONMENTAL SUSTAINABILITY IS EVIDENT THROUGH MANY INITIATIVES. JOHN MUIR HEALTH INSTALLED FORTY VEHICLE CHARGING STATIONS TO REDUCE FUEL CONSUMPTION AND CARBON DIOXIDE EMISSIONS. IN ADDITION, SYSTEM-WIDE-STYROFOAM USAGE HAS BEEN ELIMINATED. TO PRESERVE WATER, JOHN MUIR HEALTH FACILITIES WERE EQUIPPED WITH LOW-FLOW TOILETS, SHOWERS AND SINKS, AS WELL AS LIMITING OUTDOOR WATERING TO TWO DAYS PER WEEK. JOHN MUIR HEALTH NURSES ARE DEEPLY INVOLVED IN THEIR COMMUNITY THROUGH VOLUNTEERING. JOHN MUIR HEALTH ENCOURAGES NURSING VOLUNTEERISM AND COMMUNITY INVOLVEMENT THROUGH MAGNET RECOGNITION STATUS WHERE NURSES SUPPORT HEALTH BY BUILDING PARTNERSHIPS WITH THE COMMUNITY. FOR EXAMPLE, NURSES AT JOHN MUIR HEALTH MEDICAL CENTER, CONCORD PROVIDE HEALTH EDUCATION MONTHLY AT THE LOCAL FARMER'S MARKET AND PARTICIPATE AS VOLUNTEERS ON OUR MOBILE DENTAL CLINIC. JOHN MUIR HEALTH EMPLOYEES DONATE BACKPACKS WITH SCHOOL SUPPLIES TO FOSTER YOUTH THROUGH THE ANNUAL FOSTER A DREAM BACKPACK CHALLENGE. JOHN MUIR HEALTH AND OUR EMPLOYEES ACTIVELY PARTICIPATE IN DISEASE AWARENESS EVENTS IN ORDER TO PROMOTE HEALTH IN OUR COMMUNITY. EVERY YEAR JOHN MUIR EMPLOYEES PARTICIPATE IN THE NATIONAL ALLIANCE ON MENTAL HEALTH ILLNESS WALK, WALK TO WELLNESS, AMERICAN HEART ASSOCIATION HEART WALK, GO RED COMMUNITY EVENT, KIDNEY WALK, DIGESTIVE HEALTH FAIR AND OTHER COMMUNITY EVENTS. AFFILIATED HEALTH CARE SYSTEM PART VI, LINE 6 JOHN MUIR/MT. DIABLO COMMUNITY HEALTH FUND 5003 COMMERCIAL CIRCLE, SUITE 275, CONCORD, CA 94520 THE JOHN MUIR/MT. DIABLO COMMUNITY HEALTH FUNDS IS ONE ARM OF GRANT-MAKING AT JOHN MUIR HEALTH SYSTEM. THE FUND'S GOAL IS TO FOSTER SYSTEMIC CHANGE THAT IMPROVES THE HEALTH OF PEOPLE IN CENTRAL AND EASTERN CONTRA COSTA COUNTY WHO ARE UN- OR UNDER-INSURED, HAVE LIMITED ACCESS TO HEALTH CARE, ARE MORE AT-RISK FOR POOR HEALTH, AND ARE MOST LIKELY TO EXPERIENCE HEALTH CARE DISPARITIES. TO ACCOMPLISH THIS GOAL, THE FUND DEVELOPED A FUNDING PROCESS THAT NURTURES LONG TERM PARTNERSHIP WITH AND AMONG THE COMMUNITY BASED ORGANIZATIONS. THIS LEADS TO VISIONARY HEALTH INITIATIVE THAT BUILD AND SUSTAIN THE CAPACITY TO DELIVER ON THE PROMISE OF GOOD HEALTH AND AFFORDABLE HEALTH CARE FOR ALL. FROM 1997, THE YEAR THE COMMUNITY HEALTH FUND WAS FORMED, THROUGH 2018, THE FUND HAS GRANTED OVER $28 MILLION JOHN MUIR HEALTH COMMUNITY BENEFIT DOLLARS INTO LOCAL COMMUNITY-BASED HEALTH PROJECTS. MORE DETAILED INFORMATION ABOUT THE FUNDS, ITS GOVERNANCE, GRANT PROGRAM AND COMMUNITY BENEFIT REPORTS CAN BE FOUND ON ITS WEBSITE: WWW.JOHNMUIRHEALTH.COM/CHF JOHN MUIR PHYSICIAN NETWORK 1400 TREAT BOULEVARD, SUITE 400, WALNUT CREEK, CA 94597 THE JOHN MUIR PHYSICIAN NETWORK IS A NOT-FOR-PROFIT PUBLIC BENEFIT CORPORATION, WHOSE SOLE CORPORATE MEMBER IS JOHN MUIR HEALTH. SINCE ITS INCEPTION IN 1996, IT HAS BECOME ONE OF THE LARGEST PROVIDERS OF PHYSICIAN AND ALLIED HEALTH SERVICES IN NORTHERN CALIFORNIA, WITH OVER 1,000 PRIMARY CARE AND SPECIALTY PHYSICIANS WHO DELIVER COORDINATED PATIENT CARE. PHYSICIANS ASSOCIATED WITH THE PHYSICIAN NETWORK BELONG TO EITHER JOHN MUIR MEDICAL GROUP (JMMG), JOHN MUIR SPECIALTY MEDICAL GROUP, OR JOHN MUIR CARDIO VASCULAR MEDICAL GROUP. THE PHYSICIAN NETWORK OWNS AND OPERATES PRIMARY CARE CENTERS STAFFED BY JMMG PHYSICIANS IN NUMEROUS LOCATIONS FROM BRENTWOOD TO PLEASANTON. JMMG ALSO PROVIDES HOSPITALIST (IN-PATIENT MEDICAL SERVICES) AT JOHN MUIR HEALTH'S HOSPITALS. THE PHYSICIAN NETWORK IS ACTIVE IN COMMUNITY SERVICE, HEALTH EDUCATION AND CLINICAL RESEARCH. THE PHYSICIAN NETWORK CURRENTLY HOLDS CONTRACTS WITH SEVEN MAJOR HEALTH PLANS FOR MORE THAN 50,000 COMMERCIAL AND SENIOR HMO MEMBERS. ADDITIONALLY, THE PHYSICIAN NETWORK PROVIDES PHYSICIAN PANEL, MEDICAL MANAGEMENT AND CLAIMS SERVICES FOR MORE THAN 10,800 JOHN MUIR HEALTH EMPLOYEES AND DEPENDENTS PARTICIPATING IN THE EXCLUSIVE PROVIDER ORGANIZATION HEALTH PLAN. THE PHYSICIAN NETWORK MANAGES HEALTH PLAN CONTRACTING FOR JOHN MUIR HEALTH AND ITS HOSPITALS AND ENGAGES PHYSICIAN RECRUITMENT TO MEET COMMUNITY NEEDS. THE PHYSICIAN NETWORK ALSO OPERATES THE JMH MEDICARE ACCOUNTABLE CARE ORGANIZATION (ACO) WHICH PROVIDES THE COORDINATION OF CARE FOR ITS MEDICARE ACO MEMBERS. JOHN MUIR BEHAVIORAL HEALTH 1400 TREAT BOULEVARD, SUITE 300, WALNUT CREEK, CA 94597 JOHN MUIR HEALTH OFFERS COMPLETE INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH PROGRAMS AND SERVICES THROUGH JOHN MUIR HEALTH BEHAVIORAL HEALTH CENTER, THE HEALTH SYSTEM'S FULLY ACCREDITED, 73 BED PSYCHIATRIC HOSPITAL LOCATED IN CONCORD. THE JOHN MUIR HEALTH BEHAVIORAL HEALTH CENTER OFFERS PSYCHIATRIC TREATMENT FOR ADULTS, CHILDREN AND ADOLESCENT WHO ARE EXPERIENCING EMOTIONAL OR BEHAVIORAL PROBLEMS. FOR THOSE WHO ARE DEPENDENT ON ALCOHOL OR DRUGS, THE BEHAVIORAL HEALTH CENTER OFFERS A FULL ARRAY OF CHEMICAL DEPENDENCY TREATMENT PROGRAMS. THE JOHN MUIR HEALTH BEHAVIORAL HEALTH CENTER IS FULLY ACCREDITED BY THE JOINT COMMISSION. JOHN MUIR HEALTH IS THE SOLE CORPORATE MEMBER OF JOHN MUIR BEHAVIORAL HEALTH. JOHN MUIR HEALTH FOUNDATION 1400 TREAT BOULEVARD, SUITE 300, WALNUT CREEK, CA 94597 THE JOHN MUIR HEALTH FOUNDATION RAISES FUNDS TO OFFSET THE COST OF CAPITAL AND OPERATING EXPENSES FOR THE JOHN MUIR HEALTH PROGRAMS, INCLUDING VARIOUS EDUCATIONAL PROGRAMS, OPERATIONS, BUILDINGS AND EQUIPMENT. IN THIS WAY, THE FOUNDATION HELPS TO MITIGATE THE COST OF CARE PROVIDED AND ASSISTS JOHN MUIR HEALTH IN MAINTAINING STATE-OF-THE-ART FACILITIES, EQUIPMENT AND PROGRAMS FOR THE COMMUNITY. JOHN MUIR HEALTH IS THE SOLE CORPORATE MEMBER OF THE JOHN MUIR HEALTH FOUNDATION. true John Muir Physician Network 1400 Treat Blvd Suite 300 Walnut Creek CA 94597 680360801 501(C)(3) 54090000 N/A N/A General Support John MuirMt Diablo Community Health Fund 5003 COMMERCIAL CIRCLE SUITE 275 CONCORD CA 94520 911788973 501(C)(3) 1585557 N/A N/A Community Support John Muir Behavioral Health 1400 Treat Blvd Suite 300 Walnut Creek CA 94597 680249685 501(C)(3) 9401739 N/A N/A General Support John Muir Health Foundation 1400 Treat Blvd Suite 300 Walnut Creek CA 94597 942650855 501(C)(3) 5366781 N/A N/A General Support 4 GRANT MONITORING SCHEDULE I, PART I, LINE 2 JOHN MUIR HEALTH FINANCIAL MANAGEMENT MONITORS THE USE OF RESTRICTED FUNDS TO MEET THE INTENDED PURPOSES. X X true true X X X X false true false false false false false false false Calvin Knight CEO/Director/President 1176802 653166 611506 1478440 0 21257 0 3941171 0 653166 0 Christian Pass Senior VP/CFO 586000 199299 7998 259856 0 25314 0 1078467 0 199299 0 Jane Willemsen Executive VP and President Hos 661250 350292 25064 825750 0 18607 0 1880963 0 350292 0 Michael Thomas Executive VP and Chief Transfo 661250 350292 19433 559480 0 18019 0 1608474 0 350292 0 Michael Moody SR VP/Partnership Integration 591044 255243 16190 443312 0 25314 0 1331103 0 255243 0 Irving Pike MD SR VP/Chief Medical Officer 581930 192737 38334 308042 0 21257 0 1142300 0 192737 0 Max Reynolds SR VP/ General Counsel 474000 161207 7810 195320 0 25314 0 863651 0 161207 0 George Sauter Senior VP and Chief Strategy O 469850 157077 16598 214604 0 17802 0 875931 0 157077 0 Jon Russell SR VP and Chief Information Of 434547 141676 15012 194905 0 19304 0 805444 0 141676 0 Lisa Foust SR VP Human Resources 435243 139916 13214 210500 0 25314 0 824187 0 139916 0 Ray Nassief SR VP Hospital Operations 344691 110835 26705 188035 0 12022 0 682288 0 110835 0 Michelle Lopes Chief Nursing Executive, RN 353904 108339 12241 242404 0 17432 0 734320 0 108339 0 HOUSING ALLOWANCE SCHEDULE J, PART I, LINE 1A FOR CERTAIN MEMBERS OF MANAGEMENT THAT ARE RECRUITED FROM OUTSIDE OF THE AREA, A HOUSING ALLOWANCE MAY BE PROVIDED AS PART OF THE RECRUITMENT PROCESS. EACH RECRUITMENT IS EVALUATED ON A CASE-BY-CASE BASED ON THE MARKET AND THE QUALIFICATIONS OF THE CANDIDATE TO DETERMINE WHETHER OR NOT THE INCLUSION OF A HOUSING ALLOWANCE WILL BE PART OF THE RECRUITMENT PACKAGE FOR CERTAIN MEMBERS OF MANAGEMENT. THE HOUSING ALLOWANCE WAS PROVIDED TO LISA FOUST, AND JON RUSSELL. THE HOUSING ALLOWANCE WAS TREATED AS TAXABLE INCOME TO THESE INDIVIDUALS. HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES SCHEDULE J, PART I, LINE 1A JOHN MUIR HEALTH PAYS UP TO 50% OF HEALTH CLUB DUES FOR EXECUTIVE DIRECTORS OF OPERATIONS, VICE PRESIDENTS AND ABOVE. THESE BENEFITS ARE TREATED AS TAXABLE INCOME TO THESE INDIVIDUALS. NON-QUALIFIED RETIREMENT PLANS SCHEDULE J, PART I, LINE 4B Retirement Restoration Plan Employees eligible for the Retirement Restoration Plan are either Senior Vice President or Vice President level employees. Employer contributions are made to the plan on behalf of eligible employees. The annual increase in actuarial value of the plan benefit is reported in Part II, Column C. Vesting for the Restoration Plan is at the earliest of the following: reaching age 65 with at least three years of service, becoming totally and permanently disabled, involuntary termination for any reason other than cause, change of control of John Muir Health, or death. Restoration Plan benefits are payable and taxable upon vesting. No plan benefit payments were made during the year. The following executives participated in the plan and earned the following benefit during the year: Christian Pass $55,911 Irving Pike, M.D. $103,196 Max Reynolds $28,777 George Sauter $48,261 Jon Russell $33,872 Lisa Foust $45,293 Ray Nassief $60,071 Michelle Lopes $108,588 Supplemental Executive Plan Employees eligible for the Supplemental Executive Plan are either CEO of John Muir Health, CEO or CAO of John Muir Physician Network, and current employees that previously held one of those positions. Employer contributions are made to the plan on behalf of eligible employees. The annual increase in actuarial value of the plan benefit is reported in Part II, Column C. Vesting for the Supplemental Executive Plan is at the earliest of the following: reaching age 65 with at least three years of service, becoming disabled, involuntary termination for any reason other than cause, termination upon change of control of John Muir Health, or death. Benefits are payable and taxable upon vesting. Plan benefit payments of $568,518 were made during the year. The following executives participated in the plan and earned the following benefit during the tax year: Calvin Knight $782,963 Jane Willemsen $468,259 Michael Thomas $201,989 Michael Moody $179,557 A CA Statewide Community Development Authority 680164610 130795N86 2009-10-29 101911852 SEE PART IV false false false B CA Statewide Community Development Authority 680164610 2012-05-23 89800000 SEE PART IV false false false C CA Statewide Community Development Authority 680164610 13080SMW1 2016-06-09 353140040 SEE PART IV false false false D CA Statewide Community Development Authority 680164610 13080STN4 2018-05-15 92473440 REFUNDING OF 2017 BONDS false false false A 98580000 0 101911852 0 0 0 1911852 0 0 100000000 0 0 2011 false false true true B 38750000 0 89800000 0 0 0 502197 0 127803 0 89170000 0 2012 true false true true C 0 0 354142323 0 0 0 3133280 0 0 17965830 300002560 32038370 true false false true D 0 0 92473440 0 0 0 1419493 0 0 0 91053947 0 2018 true false true true A false false true false false 0 false false false false B false false false false 0 0.00010 0.00010 false false false false C false false false false 0 false false false false D false false false false 0 false false false false A false false false true false false 0 false 0 false false B false false true false false false 0 false 0 false false C false true false false true false 0 false 0 false false D false true false false false false 0 false 0 false false A false B false C false D false DESCRIPTION OF BOND PURPOSE PART I, LINE A, COLUMN (F) THE BONDS WERE ISSUED FOR THE PURPOSES OF (1) FINANCING THE CONSTRUCTION, IMPROVEMENT, EQUIPPING, RENOVATION, REHABILITATION, REMODELING AND OTHER CAPITAL PROJECTS ON OR ABOUT THE JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS AND ON OR ABOUT THE JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS AND (2) PAYING CERTAIN COSTS OF ISSUANCE. DESCRIPTION OF BOND PURPOSE PART I, LINE B, COLUMN (F) THE BONDS WERE ISSUED FOR THE PURPOSE OF REFUND AND PAYMENT IN FULL OF THE OUTSTANDING PRINCIPAL AMOUNT AND INTEREST DUE ON THE 1997 CERTIFICATES OF PARTICIPATION AND THE SERIES 2008B BONDS ISSUED 10/29/1997 AND 5/2/2008 RESPECTIVELY. DESCRIPTION OF BOND PURPOSE PART I, LINE C, COLUMN (F) THE BONDS WERE ISSUED FOR THE PURPOSES OF REFUNDING BONDS ISSUED 6/14/2006 AND 5/2/2008 AND FINANCING CAPITAL EXPENDITURES. TOTAL PROCEEDS FROM ISSUE PART II, LINE 3, COLUMN C THE $353,140,040 OF BOND PROCEEDS INCLUDE $1,002,283 OF TOTAL EARNINGS SINCE 2016 ON THE UNSPENT PROCEEDS. MANAGEMENT, SERVICES CONTRACTS OR RESEARCH AGREEMENTS PART III, LINE 3B JOHN MUIR HEALTH ENGAGES BOND COUNSEL IN CONNECTION WITH PUBLIC DEBT OFFERINGS OR REFINANCING, DURING WHICH BOND COUNSEL REVIEWS MANAGEMENT OR SERVICE CONTRACTS RELATED TO FINANCED PROPERTY. WRITTEN DISCLOSURES PART III, LINE 9 & PART V WHILE THE ORGANIZATION DID NOT HAVE BOARD APPROVED WRITTEN POLICIES AND PROCEDURES IN PLACE AS OF THE YEAR END, THE ORGANIZATION DID MONITOR COMPLIANCE WITH THE POST-ISSUANCE REQUIREMENTS IMPOSED ON THE BONDS. THE ORGANIZATION HAS DRAFTED FORMAL WRITTEN POLICIES AND PROCEDURES THAT ARE PENDING BOARD REVIEW AND APPROVAL. OTHER PROGRAM SERVICES FORM 990, PART III, LINE 4D JOHN MUIR HEALTH ("JMH") NEUROSCIENCES OFFERS THE MOST ADVANCED TECHNIQUES AND TECHNOLOGY TO DIAGNOSE AND TREAT NEUROLOGICAL DISORDERS OF THE BRAIN AND SPINE. THE COMPREHENSIVE PROGRAMS AVAILABLE AT JMH INCLUDE TREATMENT FOR CEREBROVASCULAR DISEASE (E.G. STROKE, ANEURYSMS), BRAIN AND SPINAL CORD TUMORS, DEMENTIA (E.G. ALZHEIMER'S), SPINE DISEASES, AND NEUROLOGICAL DISORDERS. NEUROSCIENCES IS COMPRISED OF HEALTHCARE PROFESSIONALS AND MEDICAL STAFF SPECIALIZING IN NEUROLOGY, NEUROSURGERY, NEUROCRITICAL CARE, NEURORADIOLOGY, NEUROPSYCHOLOGY AND REHABILITATION TO CARE FOR THE DISEASE OF THE BRAIN AND SPINE. JMH RECEIVED THE JOINT COMMISSION GOLD SEAL OF APPROVAL ACCREDITATION AS PRIMARY STROKE CENTER. IN 2018, NEUROSCIENCES AT JMH BEGAN PERFORMING DEEP BRAIN STIMULATION (DBS), A GROUND BREAKING TREATMENT FOR PATIENTS WITH MOVEMENT DISORDERS, SUCH AS PARKINSON'S, AND JMH IS THE ONLY CENTER OFFERING THIS TREATMENT IN THE EAST BAY. THE NEUROSCIENCES AT JMH ALSO MAINTAINED COMPREHENSIVE STROKE DESIGNATION AND JMH IS THE ONLY CENTER IN CONTRA COSTA COUNTY OFFERING MECHANICAL THROMBECTOMY, SO MANY PATIENTS ARE TRANSFERRED TO JMH FOR THIS LIFE IMPROVING TREATMENT. JMH INPATIENT REHABILITATION UNIT IS CARF ACCREDITED FOR GENERAL REHAB, STROKE SPECIALTY AND BRAIN INJURY SPECIALTY. THIS IS A 3-YEAR ACCREDITATION THROUGH OCTOBER 2020. PATIENT ADMISSION GREW IN 2018 FROM 2017 BY 11.41%. STROKE REPRESENTS OUR HIGHEST ADMITTING DIAGNOSIS AT 32% AND AN AVERAGE LENGTH OF STAY OF 12.75 DAYS. IN 2018, JMH REHABILITATION DEPARTMENT INTRODUCED A THERAPY DOG, FISHER, A CANINE COMPANION TO OUR TEAM WHO COMES DAILY TO ENGAGE IN PATIENT INTERACTION IN THE THERAPY SERVICES. CANINE COMPANIONS CAN OFFER EMOTIONAL AND PHYSICAL BENEFITS THAT HELP THE HEALING PROCESS. EXPERTLY TRAINED ASSISTANCE DOGS USE THEIR SKILLS TO HELP MOTIVATE PATIENTS AND CHANGE LIVES ON A DAILY BASIS. JMH'S DIGESTIVE HEALTH SERVICES PROVIDE THE HIGHEST QUALITY PRIMARY, SECONDARY, AND TERTIARY CARE FOR PATIENTS WITH DIGESTIVE DISEASES EFFICIENTLY AND COMPASSIONATELY IN A COORDINATED, COLLABORATIVE, PATIENT-CENTERED MANNER. JMH STRIVE TO PROVIDE BEST PRACTICES FOR LOCAL PATIENTS AND STATE-OF-THE-ART REFERRAL SERVICES FOR REGIONAL PATIENTS TO RECEIVE FOLLOW UP CARE CLOSE TO HOME. IN 2018, JMH INCREASED INTERVENTIONAL ENDOSCOPY CAPABILITY AND MENU OF SERVICES OFFERED TO OUR PATIENTS TO DECREASE OUTMIGRATION AND MAKE JMH THE INTERVENTIONAL ENDOSCOPY DESTINATION OF CHOICE IN EAST BAY. JOHN MUIR HEALTH IS THE FIRST HEALTH SYSTEM NATIONWIDE TO BE ACCREDITED AS NATIONAL ACCREDITATION PROGRAM FOR RECTAL CANCER. FAMILY OR BUSINESS RELATIONSHIP FORM 990, PART VI, SECTION A, LINE 2 BOARD MEMBERS TAEJOON AHN, M.D. AND RAVI HUNDAL, M.D. HAVE A BUSINESS RELATIONSHIP. GOVERNANCE DECISIONS SUBJECT TO APPROVAL FORM 990, PART VI, SECTION A, LINE 7B THE BYLAWS OF JOHN MUIR HEALTH PROVIDE THAT JOHN MUIR HEALTH MAY NOT, WITHOUT THE PRIOR WRITTEN CONSENT OF THE MT. DIABLO HEALTHCARE DISTRICT, A POLITICAL SUBDIVISION OF THE STATE OF CALIFORNIA, AND THE JOHN MUIR ASSOCIATION, A CALIFORNIA NONPROFIT CORPORATION: (I) SELL, TRANSFER, OR OTHERWISE DISPOSE OF ALL OR SUBSTANTIALLY ALL THE ASSETS OF JOHN MUIR HEALTH; (II) ISSUE MEMBERSHIP IN JOHN MUIR HEALTH TO ANY PERSON OR ENTITY; (III) MERGER; WITH ANY OTHER PERSON OR ENTITY, UNLESS JOHN MUIR HEALTH IS THE SURVIVING CORPORATION IN THE MERGE: OR (IV) AMEND SECTION 5.6 OF THE BYLAWS OF JOHN MUIR HEALTH (WHICH OBLIGES JOHN MUIR HEALTH TO AMONG OTHER THINGS, PROVIDE AT LEAST ONE MILLION DOLLARS ($1,000,000) ANNUALLY TO FUND CERTAIN COMMUNITY BENEFIT PROJECTS SPONSORED BY THE JOHN MUIR/MT. DIABLO COMMUNITY HEALTH FUND AND REASONABLE FUNDING FOR ADMINISTRATION, UP TO A MAXIMUM OF $200,000 PER YEAR. REVIEW OF FORM 990 BY THE GOVERNING BODY FORM 990, PART VI, SECTION B, LINE 11B THE COMPLETED FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS SUFFICIENTLY IN ADVANCE OF THE FILING DEADLINE TO ENABLE A DETAILED AND CONSCIENTIOUS REVIEW BY ALL MEMBERS. AN OVERVIEW OF THE FORM 990, WITH SUFFICIENT DETAIL, IS PRESENTED TO THE BOARD WITH THE COMPLETED FORM 990. ALL QUESTIONS AND CONCERNS OF THE BOARD OF DIRECTORS WILL BE ADDRESSED BY THE CHIEF FINANCIAL OFFICER AND HIS DESIGNEE AND INCORPORATED INTO THE FORM 990 AS APPROPRIATE. AFTER ALL OF THE INPUT FROM THE BOARD OF DIRECTORS HAS BEEN APPROPRIATELY ADDRESSED, SENIOR MANAGEMENT OF JOHN MUIR HEALTH WILL FILE THE FINAL FORM 990 AS REQUIRED. CONFLICT OF INTEREST MONITORING FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, THE JOHN MUIR HEALTH (JMH) BOARD CONFLICT OF INTEREST POLICY IS DISTRIBUTED TO BOARD MEMBERS, ALONG WITH A CONFLICT OF INTEREST DISCLOSURE FORM REQUIRED TO BE COMPLETED AND SIGNED. DISCLOSED CONFLICTS ARE COMPILED IN A DOCUMENT AND REVIEWED BY THE BOARD CHAIR, PRESIDENT/CEO, AND GENERAL COUNSEL. TOGETHER, THESE INDIVIDUALS MONITOR ANY POTENTIAL CONFLICTS AND THE GENERAL COUNSEL ATTEND BOARD MEETINGS TO ENSURE COMPLIANCE WITH THE POLICY. TRANSACTIONS INVOLVING A POTENTIAL CONFLICT ARE REVIEWED AND APPROVED IN ADVANCE BY THE GENERAL COUNSEL, GOVERNANCE COMMITTEE AND FOR CERTAIN TRANSACTIONS WITH THE CURRENT BOARD MEMBERS, THE BOARD. THE POLICY ALSO REQUIRES BOARD MEMBERS TO DISCLOSE CONFLICTS DURING THE YEAR AND RECUSE THEMSELVES FROM VOTING ON ANY MATTERS RELATED TO A CONFLICT. AS QUESTIONS ABOUT POTENTIAL CONFLICTS ARISE DURING THE YEAR, THE GENERAL COUNSEL REVIEWS THEM WITH THE AFFECTED BOARD MEMBER, THE PRESIDENT/CEO AND THE BOARD CHAIR. TO ENSURE THE ORGANIZATION OPERATES IN A MANNER CONSISTENT WITH CHARITABLE PURPOSES AND DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS TAX-EXEMPT STATUS, PERIODIC REVIEWS SHALL BE CONDUCTED, INCLUDING PERIODIC REVIEWS OF ITS TRANSACTIONS OR ARRANGEMENTS WITH ITS OFFICERS AND BOARD MEMBERS, AND ANY OTHER INDIVIDUAL OR ENTITIES THAT MAY HAVE A SUBSTANTIAL INFLUENCE OVER THE BUSINESS AND AFFAIRS OF THE ORGANIZATION. EXECUTIVE COMPENSATION FORM 990, PART VI, SECTION B, LINE 15A & B COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER, OTHER OFFICERS AND KEY EMPLOYEES ARE ESTABLISHED ANNUALLY BY THE COMPENSATION COMMITTEE OF JOHN MUIR HEALTH. THE COMPENSATION COMMITTEE IS A STANDING COMMITTEE OF THE BOARD OF DIRECTORS COMPRISED OF NO LESS THAN 5 VOTING DIRECTORS, NONE OF WHICH HAS A CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION TRANSACTIONS UNDER CONSIDERATION. THE COMPENSATION COMMITTEE UTILIZES AN OUTSIDE EXPERT COMPENSATION CONSULTANT. THE OUTSIDE CONSULTANT PROVIDES MARKET DATA OF SIMILARLY SITUATED ORGANIZATIONS FOR EACH INDIVIDUAL BASED UPON THEIR LEVEL OF RESPONSIBILITES. THAT DATA IS USED BY THE COMPENSATION COMMITTEE TO ESTABLISH THE ANNUAL COMPENSATION PACKAGE FOR EACH INDIVIDUAL. IT IS THE PHILOSOPHY OF THE ORGANIZATION TO ESTABLISH A COMPENSATION PACKAGE FOR EACH INDIVIDUAL THAT REFLECTS THE MEDIAN OF THE MARKET AS ESTABLISHED BY THE OUTSIDE CONSULTANT. THE COMMITTEES DELIBERATIONS AND DECISIONS REGARDING THESE COMPENSATION ARRANGEMENTS ARE DOCUMENTED IN THE COMMITTEE MINUTES THAT ARE REVIEWED AT ITS NEXT MEETING. THE DOCUMENTED MINUTES INCLUDE (1) TERMS OF THE COMPENSATION ARRANGEMENT, INCLUDING DATE IT WAS APPROVED; (2) A DESCRIPTION OF THE COMPARABLE DATA RELIED UPON BY THE COMMITTEE AND HOW IT WAS OBTAINED; 3) A LIST OF THE MEMBERS PRESENT DURING THE DELIBERATIONS AND HOW THE MEMBERS VOTED; 4) ANY ACTIONS TAKEN WITH RESPECT TO CONSIDERATION OF ANY MEMBER OF THE COMMITTEE WHO HAD A POTENTIAL CONFLICT OF INTEREST WITH RESPECT TO THE TRANSACTION. DOCUMENTS AVAILABLE TO THE PUBLIC FORM 990, PART VI, SECTION C, LINE 19 AUDITED FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE FROM THE JOHN MUIR HEALTH LEGAL DEPARTMENT UPON REQUEST. RECONCILIATION OF NET ASSETS FORM 990, PART XI, LINE 9 CHANGE IN UNAMORTIZED NET LOSS AND PRIOR SERVICE COSTS RELATED TO PENSION AND POSTRETIREMENT BENEFIT PLANS $-39,225,422 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:XXX-XX-XXXX FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL SERVICES TOTAL FEES:87432055 JOHN MUIR HEALTH FOUNDATION 1400 TREAT BOULEVARD SUITE 300 WALNUT CREEK CA 94597 942650855 FUNDRAISING CA 501(C)(3) 7 JM HEALTH true JOHN MUIR PHYSICIAN NETWORK 1400 TREAT BOULEVARD SUITE 400 WALNUT CREEK CA 94597 680360801 HEALTHCARE CA 501(C)(3) 12A JM HEALTH true JOHN MUIR BEHAVIORAL HEALTH 1400 TREAT BOULEVARD SUITE 300 WALNUT CREEK CA 94597 680249685 HEALTHCARE CA 501(C)(3) 3 JM HEALTH true JOHN MUIRMT DIABLO COMMUNITY HEALTH 5003 COMMERCIAL CIRCLE SUITE 275 CONCORD CA 94520 911788973 GRANTMAKING CA 501(C)(3) 12C JM HEALTH true JOHN MUIR MAGNETIC IMAGING 1400 TREAT BOULEVARD WALNUT CREEK CA 94597 680202020 DIAG IMAGING CA JM HEALTH RELATED 963344 3878048 false 0 true 0.90000 NEUROSCAN 115 LA CASA VIA SUITE 202 WALNUT CREEK CA 94597 680017617 DIAG IMAGING CA JM HEALTH RELATED 4501768 4868389 false 0 true 0.91102 BAY AREA SURGICAL VENTURES 30 S WACKER DRIVE CHICAGO IL 60606 203052802 MED SERVICES CA JM HEALTH RELATED 1107750 799658 false 0 false 0.53500 CARIDIAN PHYSICIAN SERVICES INC 700 YGNACIO VALLEY BOULEVARD WALNUT CREEK CA 94596 680297913 INACTIVE CA JM HEALTH C Corp 1.00000 true MT DIABLO PRACTICE MANAGEMENT 1400 TREAT BOULEVARD WALNUT CREEK CA 94597 680031326 INACTIVE CA JM HEALTH C Corp 1.00000 true JOHN MUIRMT DIABLO PARENT COMPANY 1400 TREAT BOULEVARD WALNUT CREEK CA 94597 900060434 INACTIVE CA JM HEALTH C Corp 1.00000 true true true true false false false false false false true true true false false true true false false false BAY AREA SURGICAL VENTURES a(i) 2343000 AGREEMENT TERMS JOHN MUIR BEHAVIORAL HEALTH a(i) 1092000 AGREEMENT TERMS JOHN MUIR HEALTH FOUNDATION a(i) 181084 AGREEMENT TERMS JOHN MUIR MAGNETIC IMAGING a(i) 627000 AGREEMENT TERMS NEUROSCAN a(i) 149000 AGREEMENT TERMS JOHN MUIR PHYSICIAN NETWORK a(i) 1538968 AGREEMENT TERMS JOHN MUIRMT DIABLO COMMUNITY HEALTH FUND b 1585557 EXPENSES PAID JOHN MUIR PHYSICIAN NETWORK b 54090000 EXPENSES PAID JOHN MUIR BEHAVIORAL HEALTH b 9401739 EXPENSES PAID JOHN MUIR HEALTH FOUNDATION b 5366781 EXPENSES PAID JOHN MUIR PHYSICIAN NETWORK c 13594000 EXPENSES PAID JOHN MUIR BEHAVIORAL HEALTH c 377177 EXPENSES PAID JOHN MUIR HEALTH FOUNDATION c 8379351 EXPENSES PAID JOHN MUIR BEHAVIORAL HEALTH l 582000 SHARED SERVICES JOHN MUIR MAGNETIC IMAGING l 2197000 SHARED SERVICES NEUROSCAN l 1731000 SHARED SERVICES JOHN MUIR PHYSICIAN NETWORK l 59848000 SHARED SERVICES JOHN MUIR HEALTH FOUNDATION p 4560000 EXPENSES PAID JOHN MUIR MAGNETIC IMAGING p 92000 EXPENSES PAID NEUROSCAN p 466000 EXPENSES PAID JOHN MUIR PHYSICIAN NETWORK p 13907999 EXPENSES PAID